Another Zero!!!!

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Ricky2
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 5/14/2010 8:59 PM (GMT -6)   
Hi all!

I am not a regular poster here but am around a lot and feel like I am a real part of this community. I certainly don't have the expertise of many on this site so I don't answer a lot of questions that are posted. I would like to relate my PC experience because I think it might be informative and interesting to the community. I just met with my uro who did my robotic surgery on 10/29/2009. He informed me that my PSA remains at <.1 undetectable. My reaction was YESSSS! Thank God. He told me that my chance of needing further treatment was very small...less than 25%. He said that he would not recommend radiation until my PSA reached at least .2. He believes that many go to SRT to quickly and probably don't need it. He said that he has seen to many negative side effects from SRT. His experience has been that even though PSA may rise that it always doesn't continue to rise. It may level off and stay at a low level. For now I don't have to concern myself with this issue.
I met with the ED specialist. I have been taking Cilais for therapy, but have not got any reaction from it. My ED guy changed me to Viagra 3 times a week at bedtime. Dosage is 50mg for two weeks increasing to 100mg thereafter. He hopes to wake those nerves up...My trimex mixture which is considered the standard mix with 20 mc of PG gives me only about a 80% erection at 50 cc. He gave me a sample injection of a trimex with 45 PG. Have yet to try his sample.

Ricky2
Age 70

PSA 5/2008- 3.6, PSA 7/2009- 6.1, retested 9/2009-5.1.
Biopsy 9/2009. 4 of 12 positive. Gleason 3+4=7
CT and bone scan negative.
Robotic De Vince Surgery 10/29/2009. 1 night in hospital. No pain. Cath out on 11/6
Pathology Report: Gleason score 3+4. Margins slightly involved <.1mm to .25mm. Perineural invasion present, stage pT2c. Tumor 18%. Seminal Vesicle - absent, Lymph Nodes 0 of 6.
Continence- first 4 weeks after cath out Dry at night, rest of time, bladder held nothing. 6-7 pads per day. as of 12/30 no pads most of time. almost dry except for a few drips. I keep doing Kegels.
ED. Started VED on 12/17/2009. Every other day for 15 min. Cialis .20 mm twice a week
PSA 02/08/2010 <.1
02/22/10 Trimex injection .2ml less than 50% just a little discomfort.
PSA 05/14/2010 <.1
ED still no natural erection at 5/14/2010. Trimex at .5 cc gives 80% erection..urn to increase potency of trimex..pg to .45.


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/15/2010 8:06 AM (GMT -6)   
Congrats on the zero and wishing you a lifetime of them. Make sure you come back with an update on the ED trials. smilewinkgrin
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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 5/15/2010 8:11 AM (GMT -6)   
Great news on getting that zero, that always makes us happy here.
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 : 2458
   Posted 5/15/2010 8:29 AM (GMT -6)   
Ricky,
Congratulations on the zero PSA. I hope you stay in the zero club forever.
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


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 5/15/2010 8:59 AM (GMT -6)   
Ricky,
Sounds like great news! Keep it coming.

IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 5/15/2010 12:08 PM (GMT -6)   
Ricky, nice to hear about another zero!

This just adds to the evidence that treatment can be effective for many of us. yeah

All the best to you,

Barry
Surgery: Da Vinci; July 31, 2007; 54 on surgery day;
Pathology: PSA: 4.3; Gleason: 3+3=6; T2a; Confined to Prostate;
Post RP PSAs: 09/'07 <0.04; 12/'07 <0.04; 03/'08 <0.04;
06/'08 <0.04; 12/'08 <0.04; 06/'09 =0.06; 09/'09 <0.04; 12/'09 =0.05;
Latest PSA 3/'10 <0.04

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