6 months checkup

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xc coach
New Member


Date Joined Feb 2010
Total Posts : 8
   Posted 4/25/2010 10:21 AM (GMT -6)   
This Wednesday, 4/22/2010, was my 6 months check up since the surgery. PSA <.003 however, the Dr. took me off the daily cialis and put me on 20mg of levitria. How often do our member take this dose, daily, every other day or as directed on the instructions? The Dr, did not give me a clue.
He also gave me a prescription for adrogel to use daily. Has anyone used this after surgery?
age 64
up and down PSA 6.7-2.7
Aug./2009 PSA 2.7
Aug. 19/2009 DRE abnormal finding on right side
Aug. 26/2009 Biopsy
Sept. 2/2009 findings were 6 positive samples out of 12 (right side) gleason 3+4
Sept. 9/2009 discuss treatment options with doctor
DaVinci surgery on Oct. 9/2009 Indianapolis/also repaired umbilical hernia
surgeon Dr Ken Ney
nerve bundles spared
path report all negative (cancer contained in prostate)
cath out on Oct 15/2009
incontinence 2.5 months no pads since 12/2009
first PSA Dec./2009 less than .01
ED continues VED and 5mg cialis daily
very supportive and caring wife 
 6 month psa <.003
 


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 4/25/2010 10:33 AM (GMT -6)   
If I were in our situation I'd call my MD's office and ask for instructions. What other people do is irrelevant. Best of luck!

Age:  60 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample (Gleason's 3+3=6)

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci; Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL; Dr. Robert Nadler, Urologist/Surgeon

Post-Op Gleason's:  3+3, Tertiary 4; Margins:  Free ; Bladder & Urethral:  Free

Seminal vesicles:  Not involved; Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%; Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1 light (woman's style) pad per day)

ED: Combination of Cialis and MUSE (alprostadil) once weekly: started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0; 3/10: 0.0

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/25/2010 11:00 AM (GMT -6)   
Congratulations after another strong zero PSA!
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, 4/8 .04, next one:  July
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, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2460
   Posted 4/25/2010 11:33 AM (GMT -6)   
Great PSA report. I can't help you with the ED meds since I don't use them. Good luck.
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 5 months
2 months 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 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/25/2010 11:53 AM (GMT -6)   
Coach, call the doctor's order and get instructions for your ED meds...each person is different and depending on your overall health, your doctor may have a regimen in mind.

Always ask when given medication...no one should walk out of a doctor's office with dosing information and possible side effects.
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!

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