Catheder out biopsy good....pheeeeew

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craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 3/24/2010 5:31 PM (GMT -6)   
Fellas--- got the cath out this am----and so far can do the start stop but of course leaking a bit mostly during standing up and sitting down movements. The patho report was a huge relief. 10% involvement, organ confined, clear margins, 3+4+7, pt2--- I thank everyone out here for all of your help, as you all know it means a ton. Start on viagra tonight...but not in a hurry to prove anything yet--- just working on the pee.....
age 55, married, kids and grandkids
2008 psa 4.7
2010 psa 5.5
biopsy 2-10 -- 3 of 12 samples positive ca 60% 25% and 20%
perineural invasion not seen
location rt apex
3+4=7
waiting for second opinion--
negative prostascint/mri fusion for ca in body scan, pelvic scan, and neg scan in pelvic lymphs or vas def's bi-lat
meeting next week with surgeon at City of Hope...


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 3/24/2010 5:46 PM (GMT -6)   
Great report Craig. To me it seems very unusual to see no perineural invasion. Report seems just about as good as you can get. Go have a cocktail, or another one.
Dx with PC Dec 2008, PSA 3.4, Biopsy: T1c, Geason 7

Robotic Surgery March 2009 Hartford Hospital
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 3/24/2010 5:50 PM (GMT -6)   
Having the cath out is almost like the first day of spring Craig, no pun intended. Good path report so double up on the Viagra tonight just to celebrate.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10, Completed 39 tx at 72 gys on 3/12/10
Great family and friends
Michael


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/24/2010 6:14 PM (GMT -6)   
Way to go Craig. You are loose of your rubber snake. Now you can work on the continence part. Your patholgy reports sounds pretty decent.
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, no problem post SRT
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  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 3/24/2010 6:25 PM (GMT -6)   
Good path report Craig - all the best - do take the dosage of viagra slowly to start ( and to doctor's recommendation) - don't want to immediately associate getting mr. happy -happy again by having a headache!
- and keep up with those kegels - it does take time (for some) to have it really kick in ...
-very pleased for you

hugs
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 - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: 3-5 pads/1-2 clothes changes/day- finally seeing improvement - March 3, 2010 - week 14 after surgery -
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 346
   Posted 3/24/2010 6:30 PM (GMT -6)   
I know it's a big relief to get the cath out, and a good report. Hopefuly incontinence will stop soon also.
 
Good luck
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
Incontinence-yes


craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 3/24/2010 6:38 PM (GMT -6)   
Can u guys enlighten me on perinueral invasion? I am noit sure about that term...
age 55, married, kids and grandkids
2008 psa 4.7
2010 psa 5.5
biopsy 2-10 -- 3 of 12 samples positive ca 60% 25% and 20%
perineural invasion not seen
location rt apex
3+4=7
waiting for second opinion--
negative prostascint/mri fusion for ca in body scan, pelvic scan, and neg scan in pelvic lymphs or vas def's bi-lat
meeting next week with surgeon at City of Hope...


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 3/24/2010 6:43 PM (GMT -6)   
Craig, great path report and great day for the cath removal. Kinda feels good to rid yourself of the ball and chain, don't it?

Best of luck to you with the recovery and the rehab. Hope that things look up (pun intended) for you real soon.

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

2/24/10 FIRST POST RAD PSA 1.1---CARRRP --waiting for the next test.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 3/25/2010 5:12 AM (GMT -6)   
Craig, perineural invasion (PNI) is a commonly-noted finding on pathology reports. It indicates that cancer cells were found along the nerves that run through the prostate, not to be confused with the nerve bundles outside the prostate. Some believe that PNI can (and I emphasize "can") be a conduit for PCa cells to escape the prostate, and can indicate extraprostectic extension. Many doctors do not place much value on PNI noted on either a biopsy or surgical pathology report.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs 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, March 2010 0.0. Next PSA in 6 months. Thank you God!


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 3/25/2010 8:46 AM (GMT -6)   
Congrats on losing the tube, and your good path report. Your job now is to continue to heal, gain continence and solve any ED problems. So git at it... devil
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN


craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 3/25/2010 9:27 AM (GMT -6)   
thanks for the pni info--- I did see a few papers on that -- As I see it given my clear margins and no capsule penetration etc I feel that my odds are pretty good------ onward...
age 55, married, kids and grandkids
2008 psa 4.7
2010 psa 5.5
biopsy 2-10 -- 3 of 12 samples positive ca 60% 25% and 20%
perineural invasion not seen
location rt apex
3+4=7
waiting for second opinion--
negative prostascint/mri fusion for ca in body scan, pelvic scan, and neg scan in pelvic lymphs or vas def's bi-lat
meeting next week with surgeon at City of Hope...

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