Everyone's PCa is different. Everyone's body is different and everyone has an opinion. I'm not a doc and can only explain what happened in my case.
You can see from my stats that things were happening quickly. I was in great shape, perfect BMI, active for my age so I felt I would recover quickly. I wanted the PCa out of me - now and "liked" the idea of radiation as back up. HT scared me.
There are no good alternatives only less bad.
I had Robotic surgery 8 months ago.
So with all my planning how did it work out for me in the four key areas: Cancer, Incontinence, Potency and Overall health? At 8 months:
Cancer: My PSA at 6 month was 0.05. Great.
Incontinence: I'm a total leaker. about
300 ml, 10 oz, per day. It is getting better very slowly.
Potency: Nothing. Pill and Pump don't work either. Trimix injection works.
Overall Health: Excellent. I feel great both physically and mentally.
My email is here if you want to talk. (Sorry Pal, I'm not calling you in NZ.)
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 next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%. 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.)
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23. Did I waste 6 months? Post Surgery PSA -
9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05.
Post Edited (Worried Guy) : 4/4/2010 8:23:19 AM (GMT-6)