Six month Post Davinci Check up

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lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 2/17/2010 2:42 PM (GMT -6)   
Got the good news this morning that my six month PSA Following DaVinci Surgery is 0!!!
All is going well. Using no pads, no leaks, and having success with Levitra.
 
Larry
Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0


Ricky2
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 2/17/2010 2:53 PM (GMT -6)   
Nothing like those 0s...Congrats and wish you a lifetime of 0s

Ricky
Age 70

PSA 5/2008- 3.6, PSA 7/2009- 6.1, retested 9/2009-5.1.
Biopsy 9/2009. 4 of 12 positive. Gleason 3+4=7
CT and bone scan negative.
Robotic De Vince Surgery 10/29/2009. 1 night in hospital. No pain. Cath out on 11/6
Pathology Report: Gleason score 3+4. Margins slightly involved <.1mm to .25mm. Perineural invasion present, stage pT2c. Tumor 18%. Seminal Vesicle - absent, Lymph Nodes 0 of 6.
Continence- first 4 weeks after cath out Dry at night, rest of time, bladder held nothing. 6-7 pads per day. as of 12/30 no pads most of time. almost dry except for a few drips. I keep doing Kegels.
ED. Started VED on 12/17. 15 min every other day. 20mm cilias twice a week. No sign of life yet.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/17/2010 2:55 PM (GMT -6)   
Larry, thats a wonderful report on all fronts: PSA, continence, and ED. Way to go
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 2/17/2010 2:57 PM (GMT -6)   
Great news.  Also good because it shows that even with a positive margin, you can still get the 0's. 

*Age 63, PSA July 2009 5.66
*Diagnosed July 2009, Biopsy: 2 of 12 cores positive, Gleason 3 + 5 = 8
*MRI and Bone Scan Negative.
*Open Surgery October 22, 2009 
*Prostate, both nerve bundles, seminal vessels, and lymph nodes removed during surgery.
*Post surgery Biopsy, Gleason 4 + 3; 2 positive margins
*Still slightly incontinant after 3 months - 1 pad per day (light). Dry at night. 1-2 trips to toilet.
*ED - Yes (will start Levitra possibly in January)
*30 day PSA (ultra-sensitive) .07
*90 day PSA (standard) <0.15
*01/10 - bladder neck stricture.  Opened during cysto exam.  Cath #2 in for 5 days.
*IMRT/IGRT delayed until April pending 180 day PSA result


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2229
   Posted 2/17/2010 3:48 PM (GMT -6)   
Good to hear your report Larry, and very happy for you. Here is to a lifetime of those zero's for you.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margin slightly involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only, now none
 started ED tx 7/17, slow go
Post op dx of neuropathy
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10
Great family and friends
Michael


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 2/17/2010 5:01 PM (GMT -6)   
lew/Larry, that's great news, another zero club. Wishing you a lifetime of them.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 2/17/2010 5:06 PM (GMT -6)   
Congrats Larry. It's great to see you posting them zeroes. I hope you have many years of posting nothing and looking forward to the next NOTHING result.

Sonny
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
Gleason Score (3+4) 7 in all positive cores
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Stage: T3a
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 2/17/2010 6:45 PM (GMT -6)   
Great news Larry. Just out of curiosity, is your URO using ultra sensitive PSA testing ?
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 2/17/2010 7:08 PM (GMT -6)   
Sorry but I don't know on the sensitivity. They have only told me that with my positive margin if i hit >.1 then I need to start radiation. He wants me to come back at month 10 for another test. Thought it would be at 12 months but the Doc is being careful. I'll ask in 4 more months when I go through the nerve game again.
 
Larry


Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0
Six month PSA - 0


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 346
   Posted 2/17/2010 7:12 PM (GMT -6)   
Great news on the zero's, keeping em coming.
 
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO MX


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 2/17/2010 7:15 PM (GMT -6)   
I too am watching PSA for signs of reoccurence. Ultrasensitive goes down to .01. I figure that if it starts at .01 or .02, then if I see it start to climb to .07 or .08. I can start to see a pattern. I know many doctors like the .1 because it stops guys like me from causing them a lot of phone calls, but to me, I just want to know. All they have to do is just check a box, or write ultrasensitive on the script.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01


mountain man
New Member


Date Joined Feb 2010
Total Posts : 10
   Posted 2/17/2010 7:52 PM (GMT -6)   
You're a lucky man, Larry. Here's to many more zeros!
 
age 56 (DX at 55) 
psa 6/09 - 4.0; 1/07 - 1.2
biopsy 8/09 gleason 3+3=6; T1C; 2 of 12 cores (40%/50%)
RRP 10/20/09, B&W/Faulkner Boston, Dr Jim Hu 
path report gleason 3+4=7; T2C NX MX; 1.9 cm & 10%
perineural invasion present
lymphatic invasion present
margins & seminal vesicles negative
lymph nodes not tested
post op psa 11/23/09 - 0.0!
no incontinence after cath removal (confidence pads for 1 wk)
ED complete so far (but some signs of life)


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 2/17/2010 8:40 PM (GMT -6)   
Great news. Keep those Zeros coming. yeah
Age 51 @ DX
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED for about 10 months. Levitra worked well for me. No ED at one year.
PSA 0.00 at 18 month post op

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