first, don't get mad at the doctor for finding the cancer, no point shooting the messenger. i have male friends, that refuse to go to the dr, will not have exams or tests of any sorts, let alone psa screenings, why? because when push comes to shove, they don't want to know if anything is wrong. since they are my friends I will say this: they are fools, and are in deep denial. in my own case: was having dre/psa every year since i turned 50, dre always negative, no known psa in either side of family, no prostate problems or issues, just a steadily rising psa each year. hit and passed the 4.0 threshold in 2007. My GP did the standard thing, sent me to urologist for biopsy. had a 12 core biopsy - no cancer, but some PIN found. should have been a happy ending. next year exam, PSA had more than tripled. dre - clean, still no prostate problems - new 12 core biopsy, no cancer found, but lots of HGPIN found. I was content to wait another year, but my very experienced uro was not convinced, said he saw shadows on the left side of prostate, beggd me against my personal thinking to have another biopsy done in 6 weeks or so. reluctently agreed. this time, only did 7 cores, which he guided into the shadows area. bingo: 7 out of 7 cores positive, with gleason 7 4+3 PC, and all cores high percentage.
morale of the story: screening finds cancer and can save lives. i will always be thankful that i had a dr that was smart enough and experienced enough to know that something was really wrong, when on the surface it seemed ok. i am thankful too. there is no telling how much and how dangerous my cancer would have been if i had blown off the 3rd biopsy. that was my gut feeling, and i would have been dead wrong.
if you have PC, then be mad at the PC, not the tests, or procedures, or the doctors involved. its a waste of energy. i hate my cancer with a passion, every day of my life has been affected by it for nearly 2 years now, but i love and respect all those professionals that are doing their best to help me along the way.
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: Aug 3
Latest: 7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 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, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19