First post cryo psa!

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georcass
New Member


Date Joined Apr 2010
Total Posts : 16
   Posted 7/1/2010 2:50 PM (GMT -6)   
Hello everyone -
 
My husband had his first post cryo psa test done last Wednesday.  Today we got the results, 1.980.  Is this good?  We don't go back to see the doc till next Thursday.  He (the doc) had said it should be 1 or less.  I'm a little worried.  Does anyone have some input that might be helpful? 
 
Thanks to all in advance for your kindness.
 
Georgeann

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 7/1/2010 3:11 PM (GMT -6)   
Can't answer your question, but good luck to both you and your husband. Hope he does well post treatment.

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 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 7/1/2010 3:36 PM (GMT -6)   
What was his PSA before?

Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


georcass
New Member


Date Joined Apr 2010
Total Posts : 16
   Posted 7/1/2010 6:30 PM (GMT -6)   
Before the procedure, his PSA was 19.  Gleason 3+4=7. His tumor was stage 2b.  This was based on dre only.  We did not know for sure about his nodes.  His CT scan of his pelvis and abdomen was negative.

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 7/1/2010 8:22 PM (GMT -6)   
Also need to know how long since his Cryo.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01


georcass
New Member


Date Joined Apr 2010
Total Posts : 16
   Posted 7/1/2010 9:04 PM (GMT -6)   
Cryo on March 22nd. So it was exactly 90 days from date of cryo to date of psa test.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 7/1/2010 9:12 PM (GMT -6)   
Why did you decide on Cyro? We don't see as many men choosing that treatment as others here. With a Gleason 7 and a pre-treatment PSA of 19, sounds like there was a pretty good case of PC going on at the time.

Did you husband have other health issues that had to be factored into a treatment decision, i.e. heart condition, prior surgeries, diabetes, etc.

Perhaps if you could make a signature of your husbands stats, it would be easier for us to follow and understand his journey thus far.

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 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 7/1/2010 9:19 PM (GMT -6)   
Thanks.

Well, as has been said, some of this takes time. Some cells are still dying, so PSA may take a little while to dissipate.

The other real fact is that cryo is still a newer treatment choice on this forum. We don't have a huge experience data base. Hopefully some of the cryo guys will check in.

Welcome to HW, and good luck on your journey.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01


georcass
New Member


Date Joined Apr 2010
Total Posts : 16
   Posted 7/1/2010 9:22 PM (GMT -6)   
My husband is 77. I think he is a very young 77. But the docs said they did not do rp on patients older than 65. They said the older men did not do too well with the surgery. So our only choices were cryo or radiation with hormone therapy. My husband said he thought the cryo was his best shot at getting rid of the cancer.

I would like to do a signature like that, but how do you do it? lol

Georgeann

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 7/1/2010 9:27 PM (GMT -6)   
Georgeann,

Go into the My Profile box on top of forum page. Then tak edit profile. At the bottom of that dialog box is the signature section. That is where we put our story. That way you only have to type it in once.

You can even put your name in there so you don't have to retype it either.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 7/1/2010 9:31 PM (GMT -6)   
Your husband's age makes perfect sense for Cyro as being his treatment choice. Surgery would have been hard with his age, and radiation and HT can be gruelling at best. Thanks for sharing
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 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17

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