colonoscopy after RP

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 789
   Posted 6/23/2010 9:27 PM (GMT -6)   
Hi everyone, my oncologist want's me to have a colonoscopy to check up on the bowel probs I have had since the radiation, just wondered if anyone has had the procedure since their op? appreciate feedback.

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept. Totally dry since catheter removed
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 09 0.5
PSA 3rd August 09 0.6
PSA 25th November 09 0.6 (I am now 69)
PSA 18th Jan 10 0.6


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/23/2010 9:33 PM (GMT -6)   
Oooooo!

Talk about adding insult to injury!

Have you read the Dave Barry piece on colonoscopies?

http://www.miamiherald.com/2009/02/11/427603/dave-barry-a-journey-into-my-colon.html?storylink=mirelated

Don't go for one without reading.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02
PSA on April 9 less than 0.02 
 
  


Red Nighthawk
Regular Member


Date Joined Oct 2009
Total Posts : 289
   Posted 6/23/2010 9:50 PM (GMT -6)   
That was a funny article, and worth the read.

I have an appointment for my first one on July 6th. I hope the doctor doesn't celebrate too much on the 4th.
Age: 62
Pre-op PSA: 4.1
Post-op pathology:
Gleason grade: 3+4=7, present in both lobes, at least 1.1 cm, and occupying less than 5% of prostate by volume. pT2c NX MX
No lymphatic/vascular invasion present.
Seminal vesicles and extraprostatic soft tissue free of tumor.
Inked margins are free of tumor.
High grade prostatic intraepithelial neoplasia is present
Robotic RP: Sept. 15th, 2009 1 day in hospital, cath out on 9th day
Post-op PSA: at 4 weeks ---> .04
at three month intervals -> .03; .02 (the trend is my friend!)
ED: Improvement is very slow but there are positive signs. Doc has NOT put me on ED drugs yet but I am starting to anyhow.
One pad/day for the first six weeks. Two pairs of underpants, just to play it safe, for a few months.
Surgery: Dr. Jim Hu. Brigham & Women's Hospital, Boston


T40
Regular Member


Date Joined Oct 2009
Total Posts : 103
   Posted 6/23/2010 9:59 PM (GMT -6)   
Preventative maintenance is the key for a colonoscopy.

Someone must have been hating on me when they told me that the pineapple flavor was the best option. It was absolutely vile. My brother told me one sip and he was headed to the toilet. I managed to down about 7 glasses of the disgusting concoction before I had to make like Usain Bolt and head to the bathroom.

The actual procedure itself was unremarkable. They use propofol, the same drug M. Jackson OD'ed on to put you out. He told me I would get sleepy and then I was awake and it was over.

On a scale of 1 to 10 after having a Robotic surgery..... I give it a 1 for pretty much being no big deal.
Age 40
Pre-op PSA was 5.8 from wellness test on May 19, 09
Follow up test from uro was 4.6 with a 9.3% free psa
Gleason 3+3 in one core, 3+4 in second core of 12 samples taken
Surgery performed August 19th, 09.
One side nerves spared. Nerve graft on other side.
Six weeks incontinence almost over. ED a work in progress but seeing some response.
4 months no longer using pads. ED using trimix with positive response.
Post op October 2nd, 2009 All margins were negative. PSA results in a few days.
Post op pathology 3+4 PT2A NOMO
6 wk PSA .004
3 month PSA .003 12-18-09
6 month PSA .003 3-17-10


hangin-in
Regular Member


Date Joined Sep 2008
Total Posts : 78
   Posted 6/23/2010 10:04 PM (GMT -6)   
I was told that it is ok to have one after RP without concern. I just had mine now - 2 years post RP.

Rising PSA 12/06=1.6 12/07=2.1 5/08=2.6
Biopsy 6/4/08 12 core 4 Positive 15%,15%,8%,3%
Diagnose @ Age 51 Gleason 3+3=6
Bone & Cat Scans Normal
Lapro Surgery 8/18/08 at Memorial Sloan Kettering
Pathology report stage T2c organ confined with positive apical margin Gleason 3+3 = 6 (with tertiary grade 4)
Catheter removed 8/26 - reinserted 8/29 - removed 9/2
No continence or potency problems from the get-go.
First post op PSA 10/2/08  < 0.05
2nd  post op PSA 12/30/08 < 0.05
3rd  post op PSA 3/30/09 < 0.01
4th  post op PSA 6/25/09  0.01
PSA 9/25/09 0.01, 12/28/09 0.01, 4/2/10 .01


pasayten
Regular Member


Date Joined Mar 2007
Total Posts : 448
   Posted 6/24/2010 12:47 AM (GMT -6)   
I was told that if one had significant bowel problems after SRT, a colonoscopy might be performed to identify and assess damage caused by the radiation treatments. Gladly, I only got a slight case of rectal proctitis from the SRT treatments and they cleared up on there own.

pasayten
After 3-4 years of annual PSA 4-6, biopsy recommended
59 y/o
3/13/2007 - 12 point biopsy - Left 0/6  Right 1/6 Gleason 3+3 T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6  T2c Nx Mx, approx 20% of prostate involved, positive margin, but only at 2 focal points.  
6/28/2007 9 weeks incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op  Minimal leakage...  one small pad a day
7/18/2007 First Post-Op PSA...  0.01 !!! 
9/10/2007 Pad free and ED at 75% with 100mg Viagra generic
6/26/2008 2nd Post-OP PSA at 14 months...  0.02 
12/2/2008 3rd Post-OP PSA at 20 months...   0.03
10/30/2009 4th Post-OP PSA at 31 months...   0.13 (moved and diff lab)
11/3/2009 Retest at my original lab...  0.11  (followup with Doc sched 11/10)
11/10/2009 Discussion indicated biochemical reccurrence and need for salvage radiation treatment. 
1/21/2010 Another PSA test at 34 months...  0.14
1/26/2010 IMRT Salvage Radiation Treatment started
                  32 sessions for 64 gys total.
3/12/2010 Finished 32 sessions...  No side effects to date except a little
tiredness.  Slight changes in bowel movements the last week...  
4/8/2010  Some rectal prostitis, but no change in urgency.  No urinary effects at all.  Now just waiting for the upcoming PSA test in June.
6/7/2010 First 3 month PSA result after SRT = 0.02   WAHOO!  as good as could ever be expected at the 3 month mark!  Thank You Jesus!
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 6/24/2010 6:59 AM (GMT -6)   
Hi Mal,
 
I had one just a few months after completing my radiation treatment. A biopsy sample was taken and it was clean. Doctor said "come back in ten years". Photos showed no signs of polyps or other nasty conditions. Procedure was pretty easy as I was pretty well out of it. Drinking the bowel cleanser the day before was the worst part. Briny stuff. Also plan on having someone drop you off and pick you up. The effects of the anesthesia linger a while after the procedure and you will not be in any shape to drive. At least I was not.
 
Goog luck.
Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 were full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
PSA 03/10 .32 18 months after IMRT Still on hormones
PSA 05/10 .42 Rising a little as the lupron wears off. Last lupron shot 01/10.


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 6/24/2010 8:38 AM (GMT -6)   
Sorry, I had mine a few years before my RP.

The most (and only) slightly painful part of the procedure was when I got home afterwards and pulled the little bandage (where the IV was run) off my arm that was stuck to my arm hair.

Good luck!
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery on 6/1/10
Pathology report shows cancer confined to prostate and all other tissue clean


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 6/24/2010 11:34 AM (GMT -6)   
Mal...shouldn't be any problem as long as they know your medical history. They will be careful in those areas they need to be careful and not over react to changes they see to the lining that was induced by the radiation.

Just part of the stuff we have to go through with in life. My dad died of colon cancer because he refused to be checked on a regular basis (lifetime military man with the attitude nobody does that to me along with a few other choice words for better clarity) until it was too late.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009     .06
                   6 month Apr 2009     .06
                   9 month Jul  2009     .08
                 12 month Oct 2009     .09 
                 18 month April 2010   .19


stevmac1
Regular Member


Date Joined May 2010
Total Posts : 129
   Posted 6/24/2010 2:56 PM (GMT -6)   
Mal,
   I had mine 4 days after a biopsy!!! Lots of action in a few short days. Piece of cake, tho. You'll do fine.
steve
50 Yrs. old.  DX Feb, 2010 w/6.6 PSA.
Biopsy 04-24-10, Gleason 3+3=6
4 of 5 cores left side inv. 4 of 6 rt side
RRP 06-07-10....
16 days post-op, catheter out.
Gleason upgraded to 3+4
No involvement of lymph nodes & seminal vesicle.
 


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 6/24/2010 9:18 PM (GMT -6)   
Mal,
I have had 4 colonoscopies over the last 10 years. I had the last one 6 months after my prostate surgery. The preparation is the worse part, the actual procedure takes 20 minutes and is painless.
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
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


maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 789
   Posted 6/25/2010 1:38 AM (GMT -6)   
Thanks a lot for the replies, I guess it will be ok, but really did not want any more prodding of the old body, but at least that will be one more area that I can forget about.

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept. Totally dry since catheter removed
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 09 0.5
PSA 3rd August 09 0.6
PSA 25th November 09 0.6 (I am now 69)
PSA 18th Jan 10 0.6

New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, September 24, 2018 5:02 PM (GMT -6)
There are a total of 3,006,197 posts in 329,314 threads.
View Active Threads


Who's Online
This forum has 161825 registered members. Please welcome our newest member, TheRayf.
291 Guest(s), 14 Registered Member(s) are currently online.  Details
borrelioburgdorferii, SantaZia, Erichardson234, JayMot, AZdiane, sandyfeet, Michael_T, sebreg, Girlie, Kristin93, BillyBob@388, bw1963, Envsciguy, k07