Colonoscopy after Prostate Surgery

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rob2
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Date Joined Apr 2008
Total Posts : 1132
   Posted 10/6/2010 6:37 PM (GMT -6)   
There have been some threads asking about having a colonoscopy after prostate removal.  Since I turned 50 this year and had my prostate removed at age 48, I had my first colonoscopy last Thursday.  The prep work wasn't fun but the actual procedure was easier than the prostate biopsy because I was sedated.  I had two polyps and I was concerned.  The nurse called today and said everything was OK.  I guess after going through PC, I immediately get concerned and started thinking about the prospects of being diagnosed with another cancer.  I will say I couldn't find a site on colon cancer as good as this site is for prostate cancer. 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/6/2010 6:39 PM (GMT -6)   
rob, so very glad you got the clear signal on that.
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.

clocknut
Veteran Member


Date Joined Sep 2010
Total Posts : 2680
   Posted 10/6/2010 7:32 PM (GMT -6)   

Congratulations on your successful colonoscopy. 

I just saw my uro for my six-week appointment after DaVinci surgery.  I'm definitely due for a colonoscopy.  I had read some comments warning about scheduling a colonoscopy too soon after prostate surgery.  He said I can wait if I want to, but that there's no medical reason to do so.  He said I can have the colonoscopy anytime I want.  I was especially concerned because he had removed a lot of bowel adhesions during the prostatectomy, but he assured me it would not be a problem.


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2460
   Posted 10/6/2010 9:14 PM (GMT -6)   
Good news on a successful colonoscopy. I had one 6 months after my PC surgery. The year before my RRP I had a sigmoid resection to cure my tuberculosis disease. The surgeon took 1 ft of colon. It was a painful surgery but it cured the problem.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 5 months
2 months PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005

pipedream
Regular Member


Date Joined Aug 2010
Total Posts : 64
   Posted 10/6/2010 9:35 PM (GMT -6)   
My husband had a colonoscopy about 7 weeks after his biopsy, 5 weeks before his RALP which was last Friday. All clear once again. He is a 7 1/2 year colon cancer survivor. He was 56 when he was diagnosed with colon cancer....and had never had a colonoscopy prior to his right hemicolectomy to remove a large tumor. We were fortunate he had what he thought was an attack of appendicitis which caused him to see his PCP, that the cancer was Stage 2+ when discovered and treatable with surgery, 6 months of chemo and 6 weeks of radiation. We have since known a number of people who were diagnosed after it was too late and died within a year or less thereafter.

So, kudos to you for having a colonoscopy. Everyone should have one by age 50 or 10 years earlier than a 1st degree relative (father, mother, sibling) was diagnosed with the disease. Colon cancer could be virtually eliminated if that protocol was followed.
Husband DX @ 64; 7.5 year survivor colon cancer; father had PCa @ age 65
04/09 - PSA 3.06 - retest in 6 mo
10/09 - PSA 1.55 Free PSA 7.74% - retest in 6 mo
04/10 - PSA 4.26

Biopsy 7/10
R base - 3+3=6 10%
R mid & apex - benign
R anterior horn - 3+4=7 20%
L base - 3+4=7 90%
L mid - atypical small acinar prolif
L apex - 3+3=6 < 5%
L anterior horn - 4+3=7 60%

RP Surgery - October 1, 2010

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 10/6/2010 10:06 PM (GMT -6)   
Pity that people will publicize Colonoscopies (I've had one) before they will talk about PCa.
I'll be due again in 2012.
 

Ger42
Regular Member


Date Joined Apr 2010
Total Posts : 189
   Posted 10/7/2010 3:40 PM (GMT -6)   
The first one I had years ago I was given a valium. I got to watch the process on the monitor along with the doctor. I get one every 5 years or until a doctor needs to make a car payment. All of them since the first I've been put out.
Age 68 weight 185 height 6'
Samples taken 4/19/2010 sent to Bostwick
3 out of 12 samples cancer
1) gleason score 3+3 involving 65%
2) gleason score 3+3 involving 65%
3) gleason score 3+3 involving 10%
PSA 3.5 Mar 19
PSA 2.5 Apr 4
Bone scan clean CT scan clean
Da Vinci 8/24/2010, rescheduled to 8/26, now Oct 12th
God grant me the serenity
to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4268
   Posted 10/7/2010 6:22 PM (GMT -6)   
Has anyone gotten a virtual colonospsy? I need to get one, but since I had radiation I'm leary of complications.
JT
65 years old, rising psa for 10 years from 4 to 40; 12 biopsies and MRIS all negative. Oct 2009 DXed with G6 <5%. Color Doppler biopsy found 2.5 cm G4+3. Combidex clear. Seeds and IMRT, no side affects and psa .1 at 1.5 years.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/7/2010 6:30 PM (GMT -6)   
john, i took you literally. are you being serious, is there such a thing?
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.

DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 818
   Posted 10/7/2010 6:41 PM (GMT -6)   
John might be talking about the pill you can take that has a camera in it. Or the 3D CT scan. I expect that neither can see as well as a regular colonscopy, plus doc can't go in and snip or trim if he thinks its warranted. Last I heard, the camera was still experimental. And the CT scan exposes you to radiation, so if you're leery of more radiation exposure, that's not the path to take...

...Decided to look it up online. The CT scan approach does have the advantage of seeing farther "upstream" than the scope can reach.

DJ
Diagnosis at 53. PSA 2007 about 2; 2008 4.3
Biopsy September 2008: 6 of 12 cores pos; Gleason 4+3 = 7
CT and Bone scan neg
Da Vinci at City of Hope Dec 8, 2008
Rad prostatectomy & lymph node dissection
Cath out on 7th day, in on 8th day, out again 14th day after negative cystogram
Path: pT2c; lymph nodes negative; margins involv; 41 grams,
PSA 1/08, 4/09,7/09, 10/09, 11/09,2/10 <0.01, 10/10 0.1

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 10/7/2010 6:45 PM (GMT -6)   
from what i read

The Virtual Colonoscopy

1) Not covered by most Ins
2) Sill have to do the bowel prep
3) It used a tube that is still inserted in the anus
4) If polyp found they switch and use a colonoscope and remove it the conventional way
5) They need to fill intestines with gas

Not clear on what the advantages are exactly other than no sedation and you can drive home ( due to no sedation)

I suppose if they find a polyp and switch midway that they sedate you

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 10/7/2010 6:59 PM (GMT -6)   
JohnT,
 
I had a colonoscopy about three months after my radiation was completed. There were no complications arising from the radiation and I had one polyp removed. Benign tissue was the verdict. I had never had one before and after being diagnosed with the PCa after one PSA test I was quite concerned. Like everyone else says the worst part was the prep. That laxative is nasty tasting!
 
Don
 
 
Diagnosed 04/10/08 Age 58
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
IGRT/IMRT with adjuvant HT (lupron) 2yrs
PSA:
02/08 21.5
07/08 0.82
10/08 .642
09/09 0.32
03/10 0.32
06/10 0.32
07/10 0.10

Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 10/8/2010 9:55 AM (GMT -6)   
I am reading this thread and it appears that a lot of us have had either colon cancer and PC, or pre-cancerous polyps and PC.  When I turned 50 like a good little boy (and thank god for nagging wives) I got the colonoscopy and 5 pre-cancerous polyps were removed.  I never went more than 2 years without a physical (again the wife). The last physical was the one that raised red flags and I was diagnosed with the PC at a very early stage.
The main point I am trying to make is, a lot of lives, grief and money could be saved if people would just get the physicals and testing they are always talking about
I consider myself to be a textbook example of the benefits of getting taking care of physicals, etc.
Just couldn’t resist commenting.

Age : 56
Diagnosed 3/29/2010
5mg Cialis daily
PSA 2.7; Gleasen (3+4) Biopsy 2 cores of 12 25% positive
DaVinci surgery 6/25/2010
Returned to work: 7/12/2010
Post Surgery
Final Biopsy report
5 slides of 35 were 2% positive for cancer
Clear Margins
Final Gleason (3+4)
Incontinence: None
ED: 5mg Cialis Daily
Just started on BIMIX. First results were very good

pipedream
Regular Member


Date Joined Aug 2010
Total Posts : 64
   Posted 10/8/2010 10:39 AM (GMT -6)   
Woodworker - Oh, how I wish my husband had done what you did - had a first colonoscopy at 50. I could and should have nagged him but I was in la-la land too as far as regular check-ups. You surely saved yourself a lot of grief....and quite possibly your life by having the test done timely.

At 56, my husband had not been hospitalized since birth, nor ever had ANY physical ailments worse than a cold when he was diagnosed with colon cancer. The docs said it had probably been growing for 7 years. Ironically just weeks before his diagnosis we had agreed to proceed with having colonoscopies as soon as our son's senior (high school) wrestling competition was done for the year. That was in January, Tim was diagnosed the first week of February and missed a few wrestling matches as a result. The next six months on chemo and radiation were among the worst of our lives - he was so sick, looked like death warmed over and we just slogged through trying to hold his practice together while he was in treatment. After the initial surgery, he never missed a day's work and only took time off enough to go for his treatments. Looking back, we still don't see how we managed to hold body and soul together. It was at least two years post-chemo before Tim really felt like himself again.

So, you done real good.

You've raised another issue...is there a connection between colon cancer and prostate cancer? Is someone who has one, likely to experience the other at some point down the road? I have not read anything that indicates this, but with so many anecdotal incidents, one has to wonder.
Husband DX @ 64; 7.5 year survivor colon cancer; father had PCa @ age 65
04/09 - PSA 3.06 - retest in 6 mo
10/09 - PSA 1.55 Free PSA 7.74% - retest in 6 mo
04/10 - PSA 4.26

Biopsy 7/10
R base - 3+3=6 10%
R mid & apex - benign
R anterior horn - 3+4=7 20%
L base - 3+4=7 90%
L mid - atypical small acinar prolif
L apex - 3+3=6 < 5%
L anterior horn - 4+3=7 60%

RP Surgery - October 1, 2010

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 10/8/2010 11:18 AM (GMT -6)   
I had a colonoscopy about three years ago, and it was clean - no issues at all.
Then the PCa last year, so I would be a statistical mark against an association.
 
I did have significant other colo-rectal issues a few years earlier, so that has made the PCa recovery more problematic.
 
I checked on the "virtual" colonoscopy, and found nothing to actually make it a winning choice. Went with standard.
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