post robotic surgery

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hank613
New Member


Date Joined Jun 2010
Total Posts : 4
   Posted 6/26/2010 9:34 PM (GMT -6)   
Have Gl 3=4 7, SV focal invovlvement, perineural invasion by carcinoma and high grade PIN and posterior extrprostatic soft tissue extention near base.  Am I a candidate for post surgery treatment.
Thanks in advance for any advice...

Gleason7
Regular Member


Date Joined Feb 2010
Total Posts : 111
   Posted 6/27/2010 3:40 AM (GMT -6)   
Your numbers sound more like PRE op rather then POST op....What all have you had done to date?

74 years old - DiVinci 2/10/2010 - Gleason 3+4=7 and confirmed post op. nerves spared - margins clear three and six month PSA's undetectable.

hank613
New Member


Date Joined Jun 2010
Total Posts : 4
   Posted 6/27/2010 6:01 AM (GMT -6)   
Thanks for your note. 
As mentioned in my original posting....I am a recent post operative T3b robatic surgery person with pathology of 3=4 7 Gleason and SV involvement along with margin involvement and am wondering what type of post operative measures I should think about and what the implications of all this are to my future health.  I am 73 years of age.
I appreciate your response

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 6/27/2010 7:21 AM (GMT -6)   
Hello Hank,

With your post surgery pathology, some dr. would advise you to begin radiation treatments asap. Others would want to add or include Hormone Treatment to the mix. Other's because of your age, might advise waiting to see what you post surgery PSA's look like for a while.

You have just been through a major complex operation, at an age older than some surgeons would do, so what does your doctor advise at this point?
How are you feeling post surgery? A full round of radiation after the operation can be a gruelling affair for many a man.

David in SC
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 - 31 days, 5/24 put in Cath #17


hank613
New Member


Date Joined Jun 2010
Total Posts : 4
   Posted 6/27/2010 7:48 AM (GMT -6)   
Thanks for your reply.On  Monday am going to speak to my Dr.
I had robotic surgery and had the "pleasure" of a cath for a week and it nearly made me go bunkers.  I take it your trial by terror was much more exacting.  How are you getting along these days?
I felt that what you described were more than likely the three options.  Don't like implications of Harmone theraphy.  How difficult is Radiation routine?

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/27/2010 8:04 AM (GMT -6)   
Hi Hank, I can't give you any "medical" information, but I did want to say hello and say I hope you'll post and report on how the meeting with your doctor goes tomorrow.

I have a friend who, at 74, had the radiation. Last week he turned 80 and was building a bunk house at the cottage --- full 8 hour days, and roofing too. He's had some issues with his bowels early on, and some discomfort from time to time, but all in all he's a happy guy and he hasn't let it get in the way of living a full life. Frankly, I think his experience says more about his attitude than the radiation.

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 
 
  


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 6/27/2010 10:20 AM (GMT -6)   
Hank,

It really varies too much from person to person. Some folks, myself in this group, are ultra sensitive to the effects of radiation poisoning in their bodies, and will feel severe side effects. Fortunately, these problems are in the minority percentile groups. Some men here, have gone through salvage radiation with only mild discomfort, and bounce back from it quickly. Others don't.

A good consultation with a radiation oncolgist is definitely in order for sure. Some will advocate waiting, some will want to start now. Some will suggest adding hormone treatment either before starting the radiation, during the radiation, or after the radiation, or not at all.

David in SC

P.S. In my personal case, I had already underwent gruelling neck and throat radiation 10 years ago for a different cancer, and that radiation did a lot of perm. damge to me, so having this second round of radiation put me in a higher risk group for side effects. Most people aren't in that situation.
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 - 31 days, 5/24 put in Cath #17


hank613
New Member


Date Joined Jun 2010
Total Posts : 4
   Posted 6/27/2010 9:04 PM (GMT -6)   
Thanks very much foryour suppott from both Sheldon and Dave.
I will see my doctor on Monday and evaluate with him the biopsy and recommendations about my focal Sv and margin issues of my T3b evaluation concerning need etc for further treatment.  Have a home outside US and was hoping to be able to go after my first PSA which would be about 5 or 6 weeks after my surgery if all is ok.....will have to see.
In the meantime, your words of encouragement very much appreciated.
Hank

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/27/2010 9:24 PM (GMT -6)   
Hi Hank --- I've a home outside the U.S. too and had no trouble being there 5/6 weeks after surgery. Of course, being Canadian, and having da Vinci in Canada, perhaps makes it easier, but I hope it works as well for you.

Looking forward to hearing what the doctor says.

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 
 
  


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6894
   Posted 6/27/2010 9:52 PM (GMT -6)   
Hank,
My post-DaVinci Radiation is described in a day-by-day thread :
 

Regardless of post-op pathology, they will likely suggest you wait 18-20 weeks before starting any radiation, as it pretty well stops healing, and they would want you to have the best chances to heal internally and get your continence back.

I was a post-op 4+5, but still they waited.

Post Edited (142) : 6/27/2010 9:55:20 PM (GMT-6)

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