Alf is in the ZERO CLUB!!!!!!!!!!!

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English Alf
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Date Joined Oct 2009
Total Posts : 2218
   Posted 9/14/2010 11:03 AM (GMT -6)   
Well hallo again ladies and gents.

I've had a break from the forum for several weeks, and was busy with loads of "normal" stuff.

But today I have just got back from seeing the Surgeon at the NKI-AVL hospital in Amsterdam and wow!!!!!!! my PSA is down to "<0.1", which is the lowest that this hospital will give you.

So the radiation therapy seems to have worked. (But it sure has messed up my BMs)

I have to go back for my next PSA test in January.

So all I need to do this evening is something enjoyable.


Regular Member

Date Joined Aug 2009
Total Posts : 288
   Posted 9/14/2010 11:15 AM (GMT -6)   
Alf, fantastic news!

Our best,
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op clear margins, no extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, SRT 01/19/10 started 39 sessions 70.2gy, psa 6 weeks into salvage IMRT up to .4
Post SRT psa at 10 weeks (5/31/2010) down to .2, @20 weeks (8/20/10) .1 (getting close)

Regular Member

Date Joined Mar 2010
Total Posts : 208
   Posted 9/14/2010 11:50 AM (GMT -6)   
Hi Alf,

Congratulations!!!! We've missed you on the forum. Figured you were off on one of those long vacations you Europeons get-have a great evening.

Husband diagnosed 3/10
Age 56, PSA 4.7, free 7.6%

Biopsy 5 of 10 cores positve-all right side-25% to 57%
Gleason 6
DaVinci surgery with Dr. Vip Patel scheduled 8/9/10

Post Op: Gleason 3+4=7
Negative surgical margins and lymph nodes
No seminal vesicle and angiolymphaic invasion
perineural invasion present
Both nerve bundles spared

Forum Moderator

Date Joined Jan 2010
Total Posts : 7084
   Posted 9/14/2010 11:50 AM (GMT -6)   
Great news! I'd even allow myself a good beer after that.
But it would have to be before 8 pm.
My next check is mid-October, just about the 1 year anniversary of the meeting with DaVinci.

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 9/14/2010 12:03 PM (GMT -6)   
congrats, alf, that is truly wonderful news.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 9/14/2010 12:19 PM (GMT -6)   

Regular Member

Date Joined Mar 2007
Total Posts : 460
   Posted 9/14/2010 12:38 PM (GMT -6)   
Great news made my day.

Regular Member

Date Joined Dec 2009
Total Posts : 316
   Posted 9/14/2010 12:39 PM (GMT -6)   
Hi Alf! Congratulations, that's great news! What was your psa before radiation? Well, I am so happy to hear the good news.
Wishing you a lifetime of zeros!

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4119
   Posted 9/14/2010 1:29 PM (GMT -6)   
GREAT NEWS! Love seeing those Zeros. Lets set up another round of beers.

Cajun Jeff

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 9/14/2010 1:55 PM (GMT -6)   
Alf- decent news, hope you slayed the dragon. Glad you didn't go into detail on the BM factor...that could be TMI territory. (too much information) Those issues should subside but could take some time in so doing. My attempted humor needs flushing.
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35 normal, ct and bone scans appearing clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off for 1 yr., controlled so well, resumed, using intermittently, pleased with results

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 9/14/2010 2:12 PM (GMT -6)   
Congrats and wishing you a lifetime of zero's...
James C. Age 63
Gonna Make Myself A Better Man
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., margins clear GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, reoccurance?
ED continues: Bimix- .3ml or Trimix- .15ml

Regular Member

Date Joined Jun 2010
Total Posts : 416
   Posted 9/14/2010 2:24 PM (GMT -6)   
Glad to hear it.. hope it stays that way.
First ever PSA test Jan 2010 @ 51 years old. 4.0.
Digital exam in March 2010 showed 1 side hard, other soft.
Biopsy, positive in 3 of 12.
Davinci @ Boston Medical Center, May 17, 2010.
Was suggested prior to it was likely contained.
June 1 advised 3+-4 was really 4+3 per pathology. Pos margins.
Listed on patholgy as PT3, but with extraprostatic extension,
microscopic invasion of the bladder neck, PT3A is perhaps the case.
Catheter removed June 1.. 1 pad/day, doing ok. ED, but not in rush.
Sore as heck down there, but doing much walking with my wife.
To meet with my Uri (1st meeting since) June 17 - 1 mo point, to discuss.
BMC already has me setup to meet with radiology.
Felling a little better each day. Cant tell if my expectancy just went from 10-15 down to 5-7, the information out there appears to be all over the place. I WILL NOT radiate my insides to the point of being a veg for the sake of a few years. QOL is primary to me. Selfish I guess. I pray for all of you as I do for myself, but must remember that i've had a pretty good 50+ years, and know others who have lost their children to disease.. so I dont have the nerve to complain! Update 7/14/2010: When I tried changing this sig a few days after creating it, system was broken. My new rad oncologist are discussing IMRT.. though he says he can see why waiting a bit and watching the PSA on super sensitive basis might make sense. I am leaning towards IMRT.. thinking is my body is pretty strong now, i'm 51, and if I can rid my body of this while trying to minimize the side effects.. I dunno. No really Good answers. When I said I didnt want radiation to the point of being a veg.. I really meant there is a limit as to where I wish to go in order to realize only a small increase in life expectancy.. and not that I am an unreasonable person. I do, after all, have an obligation to my wife and kids.

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 9/14/2010 2:50 PM (GMT -6)   
Am I right that the rules on signatures are different. Mine wasn't attached to my post.
In case no data about me shows with this, then Lynn my PSA after surgery was 0.1 and in March 2010 before RT it was 0.4
(One thing that happened while was away fom the forum was that I lost all the data I had about PCa from my laptop and most strangely I lost all the data in my back up too. The contents of my "Prostate Cancer" folder was the only stuff that disappeared either on the harddrive or the stick! Luckily I jhad some stuff on my backed up back up on my son's PC)

Not been on holiday really, but just trying to enjoy life and not get PSA anxiety and I did drive about a bit in the rain looking at some Dutch countryside.

Amazingly not had a drink today after all.

Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking of urine
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc. but...
Nov 17th 2009 PSA = 0.1
Can still get erections okay, and almost no leaking of urine, but since December 2009 I don't have orgasms, instead I just have intense pain in place where prostate used to be.
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)
June 11th 2010 finished RT - main side effect tiredness, but also the occasional small leak
June 27th My 50th Birthday - feeling better but still not 100% okay

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 9/14/2010 2:52 PM (GMT -6)   
Oh my signature seems to have added okay this time, but I went to try and update it and it said it had to be limited to 400 characters. Is that the new rule?

Regular Member

Date Joined Jul 2010
Total Posts : 33
   Posted 9/14/2010 2:55 PM (GMT -6)   
Save some space for me.
Age 49 years old with no family history of PCa. but had testicular cancer in 1985.

PSA on 3-8-2010 was a 5.6
PSA re-take on 3-17-2010 was a 4.4
Biopsy collected on 4-17-2010 showed 2 of 12 cores malignant with Gleason scores of 3+3 Stage T1C.
RALP surgery 7-21-2010 at Hopkins.
Pathology report revealed that the cancer was organ confined, all margins negative and a Gleason score of 6.

Veteran Member

Date Joined Nov 2008
Total Posts : 697
   Posted 9/14/2010 3:08 PM (GMT -6)   

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) Jan-Mar 2007
PSA 9/2007 and thereafter <0.1

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 9/14/2010 3:12 PM (GMT -6)   
Alf, yep ,new rule, a couple weeks old now.
James C. Age 63
Gonna Make Myself A Better Man
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., margins clear GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, reoccurance?
ED continues: Bimix- .3ml or Trimix- .15ml

Veteran Member

Date Joined Aug 2009
Total Posts : 2448
   Posted 9/14/2010 3:14 PM (GMT -6)   
Alf, great news to see when I first log onto HW. Congratulations. Stay in the club for many years to come and may the after effects of the Rad subside quickly.


Regular Member

Date Joined Oct 2009
Total Posts : 420
   Posted 9/14/2010 3:16 PM (GMT -6)   

Great news! At some point you have to hoist at least a ha' pint and celebrate. Regards,

Age 67 PSA 4.5 Biopsy 9/4/09 Bostwick Labs 5 of 8 sections (5 of 11 cores) positive-Gleason 3+3=6 Stage T1
BT on 12/11/09 (84 seeds of Palladium 103) Home same day/no catheter. Some burning, frequency, urgency for 6 weeks. No incontinence, mild ED. Normal activity within 3 days. 25 IGRT sessions ending 3/22/10 - some fatigue until 30 days after last treatment. PSA on 5/26 - 0.1 PSA on 9/1 - 0.1

Veteran Member

Date Joined Jan 2010
Total Posts : 1011
   Posted 9/14/2010 3:18 PM (GMT -6)   
Great news Alf. I am very happy for you. Also, glad to have you back at HW. I am finishing my SRT next week. Unfortunately, I will have to wait until next summer due the the 12 months of HT that I am on.
Dx with PC Dec 2008 at 56, PSA 3.4

Biopsy: T1c, Geason 7 (3+4) - 8 cores taken with 4 positive for PCa, 30% of all 4 cores.

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Jun 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31
psa May 10 .50

April 10 MRI and Bone Scan show lesion on lower spine, false positive.

Started HT 5/25/10 with 3 month shot of Trelstar. SRT scheduled for late July

psa July 10 <.01 HT at work

Regular Member

Date Joined Dec 2009
Total Posts : 348
   Posted 9/14/2010 3:32 PM (GMT -6)   
Well done mate,  the less the merrier...

Veteran Member

Date Joined Jan 2009
Total Posts : 2243
   Posted 9/14/2010 3:48 PM (GMT -6)   
Great to hear Alf, and keep us posted on what you do tonight that is enjoyable.

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 9/14/2010 6:26 PM (GMT -6)   
Way to go Alf. Success is always great to hear in this crazy game. Gives a guy some hope !
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
15 month PSA <.01

Veteran Member

Date Joined May 2010
Total Posts : 1406
   Posted 9/14/2010 6:45 PM (GMT -6)   

Oh, Alf - I am so happy for you!  Congratulations, this is a great news!

I also want to tell you that you were one of those special people who reached out with advise and support when I first arrived here.  Thank you so much!

Husband Ron, age 63
4/1/10 PSA 5.5 Prostate size = 50 cc.
Biopsy on 4/20/10 12 samples... Adenocarcinoma: 3 positive on right side, one core left base (5% ` 0.5 mm) - two cores of left lateral mid
(20% ~ 2mm, 10%, 10% ~ 1mm) - No Perineural Invasion
Gleason 6 (3+3)
Bone Scan/CT Negative (2 lesions on liver)
8/18/10 - Da Vinci Prostatectomy
Post Op: Gleason 7 (3+4)
Negative surgical margins and lymph nodes
Both nerve bundles spared
Catheter - 13 days

Ralph Alfalfa
Regular Member

Date Joined Nov 2008
Total Posts : 469
   Posted 9/14/2010 8:42 PM (GMT -6)   
Well done, Alf. Cheers!

Dx: October,27, 2008(the day after my birthday)

Psa 14.5

Gleason:(4+3) 7 T2c

Bone scan:Negative

Cat scan: Negative

Biopsy: 4 of 12 positive

Confined to prostate.

DaVinci Jan. 19th, 2009. No lymph node involvement, all margins clear.

8 week PSa <0.01

Gleason downgraded to (3+4)7

6 month Psa , 0.1

9 month Psa, 0.2 Doubled! Criminy!

Started RT 10/ year since diagnosis. RT over 12/22.

3 month post RT Psa 0.1. 6month post RT Psa 0.1
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