Delaying first post-op PSA?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 2/26/2010 11:36 AM (GMT -6)   
My instructions were to get my first post-op PSA "after 2/26." My surgery was on 1/26. I am going to wait a few more days and get it done on Tuesday, 3/2. I figure that might give a few more days for the PSA stuff to disintegrate post-surgery.
 
Not sure if that makes sense.
 
Mel

63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms. 

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights.

Next Event: First post-op PSA on 3/1/10


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/26/2010 11:42 AM (GMT -6)   
Mel, I don't think that made sense at all, there would be no way of you knowing if waiting or not waiting is doing anything one way or the other at the cellular level and within your blood. But if you delay your test a few days just because you want to, that is perfectly fine, not going to hurt anything.

David in SC


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

Post Edited (Purgatory) : 2/26/2010 12:39:14 PM (GMT-7)


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/26/2010 11:57 AM (GMT -6)   
PSA half-life is 2-3 days. Take your pre-operative PSA and figure how long a time until you reach an "undetectible" level (which test?), and add some margin. After 4-weeks, you should be good unless your pre-op PSA was really high.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 2/26/2010 12:12 PM (GMT -6)   

Casey and David:

Actually, that is what I've been doing. My surgery was on the 26th. Suppose the PSA gets cut in half every 3 days. By waiting until Tuesday, it would provide 12 3-day cycles.

My last PSA was 4.19 in August. So, suppose it went to 5.0 at surgery time.

Using this data: 5 (.5)^12 = .001.

That's what I'm hoping for.

Frankly, I think <.01 is considered undetectable here (it might be .02; I'm not sure about my local lab parameters)

David -- that's the logic.

Mel

 


63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms. 

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities.

Next Event: First post-op PSA on 3/2/10


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 2/26/2010 12:57 PM (GMT -6)   
My doc does the first post-op PSA at three months. He says that a one month test can just cause unnecessary worry and has little or no therapeutic benefit.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day
9 mo. PSA 0.00 -- 1 light pad/day ED remains


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/26/2010 1:41 PM (GMT -6)   
compiler said...

Frankly, I think <.01 is considered undetectable here (it might be .02; I'm not sure about my local lab parameters)


"Undetectable" is simply the designation given to a result below the lower limits of reliable detection (LDL-lower detection limits) for whatever test method you have.  Might be <0.1ng/mL, or might be <0.01ng/mL, depending on what your test method is (those being the LDL of the two most commonly available tests; although there are others).

 

So which test are you having?  If I recall correctly from some previous posts, you a) noted Strum's "support" for ultra-sensitive PSA test, and b) indicated that Menon does "not support" ultra-sensitive PSA testing.

If you are looking for another opinion smilewinkgrin , believe it or not I have one to offer. 

My comments from a separate, earlier (but recent) posts might be misconstrued to read that I do not support ultra-sensitive PSA tests after RP...but this is not the case. 

I believe that there is some cases where ultra-sensitive PSA Test is appropriate, and others where it is not.  The majority of RPs result are with low risk cases (lower Gleasons) and result in no evidence of positive margins or extracapsular extension.  These cases (the majority) fall into the situation where avoidance of unnecessary "PSA Anxiety" of watching ultra-sensitive result variation outweighs the favorable benefit of watching for steady increases over time (because it is highly unlikely that there will be any...not saying it doesn't happen, but highly unlikely).  So, for most guys, standard PSA test is fine.

On the other hand, cases with really high Gleasons or with margin or penetration issues, the favorable benefits of watching ultra-sensitive results trumps the concern over "PSA Anxiety"...these cases are when ultra-sensitive test is appropriate.

Just offering a comment/input.

Post Edited (Casey59) : 2/26/2010 1:01:53 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/26/2010 1:41 PM (GMT -6)   
Mel, perhaps a typo? Undectable here is <.1, not <.01. Perhaps that is what you meant.
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


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 2/26/2010 1:54 PM (GMT -6)   
I believe more guys waited 90 days to avoid seeing a high number at the 30 day mark.

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/26/2010 2:02 PM (GMT -6)   
My dr. insisted on a full 90 days post surgery, to let everything settle down
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


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 2/26/2010 2:19 PM (GMT -6)   
My Dr. scheduled mine at +8 weeks, but that fell over Christmas, so we did it a few days earlier. I was 7.1 or 7.4 depending on which test we count before surgery, and it came back undetectable after 7 weeks.
Next one is two weeks from today. Still looking for a big nothing!

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 2/26/2010 2:39 PM (GMT -6)   
Mel,
I waited 6 weeks because I saw that many guys had their first PSA either at 6 weeks or 3 months. I did not see any at 1 month.

I also took careful note of what time I did it and if I had an empty stomach. That way I could eliminate some variables that may or may not have an effect. I did my test the way I check my cholesterol - nothing by mouth after midnight, and try for a 9AM draw.

May you have lots of zeros.
Jeff
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 6=3+3. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots, See Uro 1/22/10 Trimix unsuccessful.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (Try cutting down on fluids. Bad idea. I know.)
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day
1/11/10 6 months: Still 3 pads but leak is now 320 ml (5 day avg.)
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05.


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 2/26/2010 3:21 PM (GMT -6)   

David:

I'm not sure what the undetectable level is for our local test.

I know I have PSA scores of 4.01 and then 4.19.

So, I assumed that they must go to 2 decimal places so undetectable means <.01

Does that sound like a logical conclusion or might it be a different scale below 1 so that <.1 is undetectable?

I guess I can call and ask, but I won't bother. I'll get the result soon enough!

 

Mel

 


63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms. 

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities.

Next Event: First post-op PSA on 3/2/10


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 2/26/2010 3:24 PM (GMT -6)   
Our surgeon ordered the first PS 4 weeks after surgery, with a follow-up test 8 weeks later. His thinking about the first test was to get a sense of whether or not the surgery was successful. Husband's PSA pre-op was 6.4...4 weeks after surgery is was 0.1. When the surgeon called with the results of the first test, he said the 0.1 was a very good sign 1 month after surgery, and almost guaranteed that the next (and more definitive test) 1 month after that would be 0.0 - which it was.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009- 0.1, September 0.3, October back to 0.0, December 0.0. Thank you God!


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 2/26/2010 3:32 PM (GMT -6)   
Mel, I had a PSA at one month, 6 weeks, and then the 3 month mark. I stayed on a 3 month check-up for the first year and now I go every 6 months. The doctor wanted to build a baseline for the PSA. I read one article that it takes 6 weeks to get the residual PSA out of the system. Also, have read the 3 month test is the one to measure the success of the surgery. As for un-dectecable, I have been .04 for the past year. I believe James the moderator has been around that as well.

Tony has his history of PSA after surgery. It was helpful for me. I believe he started testing soon after surgery.

Someone posted that some suffer for P.I.S.S. PSA Interval Stress Syndrome. I know I do....
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
20 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 2/26/2010 3:38 PM (GMT -6)   
compiler said...
My instructions were to get my first post-op PSA "after 2/26." My surgery was on 1/26. I am going to wait a few more days and get it done on Tuesday, 3/2. I figure that might give a few more days for the PSA stuff to disintegrate post-surgery.
 
Not sure if that makes sense.
 
Mel

  90 days is the standard suggested postop test but, it's probably whatever the Doc feels like doing in his own practice. I wouldn't rush to have anything done.
 Hilarem datorum diligit Deus


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/26/2010 3:50 PM (GMT -6)   
Mel,

David was trying to say that any test reading below <0.1 is undetectable regardless of the number of places after the decimal point.

It isn't unusual as Casey stated that with cases of positive margins to have a psa test 5-6 weeks after surgery. This will give the surgeon a base line to work with. Any reading under that <0.1 will be a good sign. Usually then they will go on the 3 month cycle after that. If by chance is is above the 0.1, then most likely the surgeon will ask for a repeat test within thirty days to establish a trend. Keep in mind adjunctive or salvage therapies really depend on psa doubling time. If the psa is doubling fast then adjunctive therapy will be recommended. If it isn't doubling very fast or is stable (even if detectable), then salvage therapies can be utilized later on as required.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08
                 12 month Oct 2009 .09 


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/26/2010 4:00 PM (GMT -6)   
LV-TX said...
Mel,

David was trying to say that any test reading below <0.1 is undetectable regardless of the number of places after the decimal point.
Uh...not quite sure what David was saying, but the statement above is not correct.
 
If an ultra-sensitive test (with LDL of 0.01 ng.mL) is performed on the specimen, then a "reading below <0.1 is NOT undetectible..." (unless it is also below the LDL of 0.01).
 
A result below 0.1 and above 0.01 is detectible...seems sorta obvious.

Post Edited (Casey59) : 2/27/2010 5:10:05 AM (GMT-7)


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/26/2010 4:13 PM (GMT -6)   
Casey...I guess it depends on what you want it to read....any doctor that I know of will consider anything below 0.1 as undetectable. Reason is normal fluctuations and test calibrations at the lower limits.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08
                 12 month Oct 2009 .09 


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/26/2010 4:27 PM (GMT -6)   
Les, maybe you've been missing a whole lot of discussion here at this site recently on the topic of the ultra-sensitive PSA test, and the results below 0.1 but above 0.01.

Rather than re-summarize it all for you, I would simply suggest going to this thread to get updated: http://www.healingwell.com/community/default.aspx?f=35&m=1725021
(At this moment, this thread with the subject "Nerve Sparing and PSA" is at the bottom of page 2; after the next new thread is added, it will move to the top of page 3.)

Post Edited (Casey59) : 2/26/2010 3:31:42 PM (GMT-7)


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 2/26/2010 4:31 PM (GMT -6)   
Our neighbour down the street just come out of hospital - an RP for PCa - guess he is about 65+ - same doctor as mine - only a 2 day stay for him - told him about this support site.

I guess my doctor is not a worrier or wants whatever was happening to my body to settle down -(never heard of a PSA half-life before today)
- operation on Nov 18 - path results on Jan 8 - first post-op PSA to be done March 24 and discussed with doctor on April 8
- so the test is a full 17 weeks after the surgery -discussed at week 19
... if he ain't worried, neither am I...

wish you all the best for your results - here's to zero-thinking !

BRONSON
.................
Age: 54 - gay - with spouse, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis
location: Peteborough, Ontario, Canada
............


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 2/26/2010 9:00 PM (GMT -6)   
Mel,
Your math makes sense. My uro wanted my test to be at 8 weeks.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11.5 months test 1/21/10 result 0.004


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 2/27/2010 9:27 AM (GMT -6)   
Most Uro's consider .2 or geater biochemical recurrence. I wouldn,t get too hung up on the math here. The decimal points didn't matter much to me. I waited three months post-op for the first PSA.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Started IMRT June 13, 2009
Completed 37 treatments July 31, 2009 (66.6gy)
11/23/09 Post IMRT PSA .18
2/12/10   Post IMRT PSA 0.00

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, June 21, 2018 10:26 AM (GMT -6)
There are a total of 2,974,052 posts in 326,154 threads.
View Active Threads


Who's Online
This forum has 161227 registered members. Please welcome our newest member, lennep123.
438 Guest(s), 7 Registered Member(s) are currently online.  Details
suppwife, Kent M., Katerina-b, Bohemond, JohnnyG113, MacroMan, Crazyick