Colonoscopy after Radical Prostatectomy

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Sharp18
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 4/25/2010 1:23 PM (GMT -6)   
My last colonoscopy took place about five years ago.  Last week I received a phone call from the colonoscopy doctor's office for another colonoscopy test. 
 
Does anyone done colonoscopy test after radical prostatectomy?  If yes, at what time frame colonoscopy was perfomed?
 
Thank you,
Sharp

Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 310
   Posted 4/25/2010 1:54 PM (GMT -6)   
You must make sure your surgeons talk to each other.

It's a long story, not appropriate for this board, but I had to have six colon surgeries (not just a colonoscopy) after my radical prostatectomy. They thought I had colon cancer - fortunately, I didn't, just a lot of large but ultimately benign colon polyps.

If I remember correctly, I had to wait 30 days after the RP AND have the colon work done by the chief surgeon at the hospital. And at that time they thought I had colon cancer, I am sure they would have waited longer if they thought that I didn't. That part of my life is just a blur, just one surgery after another for about a year.

The key point is that there is a significantly greater risk of colon perforation for a while after an RP. If this is a routine five-year follow-up, I would be in no hurry to do it. But again, this is one time that you have to get the two doctors together, at least on the phone.

Zen9

Gleason7
Regular Member


Date Joined Feb 2010
Total Posts : 111
   Posted 4/25/2010 3:20 PM (GMT -6)   
Coincidence for sure. I had my prostatectomy 2/10/10 and my colostomy notice (three years as they always find something) got the OK from my surgeon who had no problems with it and I had it done seven weeks after the prostatectomy but yes it's best to check it out.

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 4/25/2010 3:40 PM (GMT -6)   
My Uro gave me the ok when I asked him at 9 months, I never asked him about it sooner so it may have been ok to do sooner

Ask your Uro to be sure
Stats:
Age: 52, PSA (2008)=1.9
Biopsy on 01/09/09, Gleason Score = 3+3
One (1) out of twelve (12) cores was positive, plus external nodule found
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Post Op Path 3+3
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, <0.01 - 3 months post-op
PSA 1/10 undetectable, <0.01 - 9 months post-op
Trimix provides 100% erectile function


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/25/2010 4:52 PM (GMT -6)   
My John was notified that he was due for his colonoscopy 3 months after prostatecomy. He asked the urologist if this was OK - doctor said "go for it." Definitely speak with your medical team - if you're not "ready", I'm sure it's not a problem if you put it off a month or two.
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!


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 4/25/2010 5:01 PM (GMT -6)   
Sharp,
I really dont know the answer to your question, but agree with the others the 2 Dr.s should discuss the colonoscopy. But what I can tell you with certainty, is that I wont do one until I am "real ready" for that procedure. If I had a hx of problems related to colon cancer that would be another issue. Good luck, and someone posted a link to Dave Barry's coulmn on a colonoscopy, which puts a little humor to the situation.
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


Sharp18
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 4/25/2010 5:13 PM (GMT -6)   
Thanks to everyone - I'll probably take an additional 3-5 months to take my scheduled colonoscopy

montee
Regular Member


Date Joined Mar 2007
Total Posts : 315
   Posted 4/25/2010 8:01 PM (GMT -6)   
Had mine about 3 months after RP, did check with URO surgeon before.
diagnosed sept 2006 @ 54 years old, live in Georgia, gleason 3+4=7, (r) lobe only

psa 4.7 (psa rose 1 point per year for 3 years, urologist said still under 4 and no concern. If I can find out about PSA velocity, why didn't he know!)

Told not to have surgery at Dana Farber as cancer had already penetrated prostate, in seminal vesicles, would have positive margins. Would only treat with radiation and HT

RP Emory Atlanta December 2006. Path-negative margin, negative lymph nodes, negative SV, both Lobes involved, 40% gland involved
multifocal perineural invasion, Gleason 3+4=7

1st psa April 2007-<0.04, 6 mos-<0.04, 9 mos <0.04, 1yr <0.04, 21 mos <0.04, 2 yr 0.04 (rising?) 26 mos-0.05, 27 mos-0.04, 29 mos 0.06 Sept 09 ,<0.04 3 year <0.04 39 mo. 0.07 (rising again)


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 4/25/2010 9:00 PM (GMT -6)   
I asked my uro and he said three months after RRP is a safe timeframe.
Father died from poorly differentiated PCa @ 78 - normal PSA and DRE
5 biopsies over 4 years negative while PSA going from 3.8 to 28
Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8
Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere + Avastin)
PSA prior to treatment 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60
RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins
PSA undetectable for 8 months, then 2/6/2009 0.10, 4/26/2009 0.17, 5/22/2009 0.20, 6/11/2009 0.27
ADT (ongoing, duration TBD): Lupron started 6/22/2009
Salvage IMRT to prostate bed and pelvis - 72gy over 40 treatments finished 10/21/2009
PSA 6/25/2009 0.1, T=516, 7/23/2009 <0.05, T<10, 10/21/2009 <0.05, T<10


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 4/26/2010 8:59 AM (GMT -6)   
I had a colonoscopy done 6 months after my robotic surgery. No problems.
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

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