Met with uro doc today. We had a very in depth discussion of HT, and he expressed genuine concern that I might choose to not do it. His statement was this: "What if I'm right, and you do not take the lupron?" "If you have a recurrence, your opportunity for a cure will have been missed."
Based on what I'm reading, he makes a good point. Although many docs recommend to not do the lupron with my situation, they cannot make a strong case against it, other than possibly masking a psa rise. Monday should prove interesting at MDAnderson.
As to the caverject, He shot me up with .5 mg. I think he said maximum dose was 1 mg. Anyway, it stung pretty good when he stuck the needle in me. After a minute or so, I did get some swelling, but nothing usable. Oh well. That was really disappointing as my wife and I had our afternoon all planned out, and daddy was ready for action.
Well, doc said to come back next week, and we'll try a larger dose. Dang, but I'm sure impatient with this.
Age 57 at Diagnosis
May, 09 PSA 2.26
June, 10 PSA 3.07 Free PSA 18%
Met with Uro, DRE +
June, 10 Biopsy, 7 of 12 cores, up to 60%, 4+5=9
July 21, 2010 - RRP
tumor contained in capsule, still 4+5=9
perineural invasion extensive
Aug 5, 10 catheter out
Sept 3, 10 PSA - 0.00 (great big whew)
As of 9/3/2010, I'm 99% continent - only occasional stress incontinence !