This has been going on somewhat for 5-6 weeks and has gotten much worse the last few weeks. The subject says it all. It is amazing how discomforting this is (although over the years I've had back problems and that is much worse).
Anyway, one bit of good news. I contacted Ford Hospital and they seemed to indicate my real concern/fear -- that it is PC now in the bone -- should not be a concern at all, given my low PSA (.01).
I'll see my local physician on Thursday.
Meanwhile, I am just so SICK OF SEEING %$#@ DOCTORS. I've had more medical appointments in the last 6 months than in my lifetime. I HATE this!
63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%), after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:
Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.
Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear. Perineural Invasion: yes. Seminal Vessical Involvement: No. Extraprostatic Extension: yes. Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms. (Second opinion from Jon Epstein at Hopkins confirmed these results)
Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time. As of 3/12/10--completely continent! Uh...OH. As of about 3/16/10 problems with constant urgency although no pads needed--feels like an infection but none showing in urine.
Update: since late March all is well in that area. I would say 99.9% continent (a spurt here and there, maybe 5 spurts per week).
First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in mid-June.