I have been reading here for the past month or so since I was diagnosed with PCa. I appreciate the information and experience here.
Although my PSA values have been steadily increasing over the past 6 years, it was really an increasingly abnormal DRE that triggered doing a biopsy. I participated in a POPs (Prostate Onsite Project) program at my workplace. I have to credit the POPs program for making me aware of my PCa.
My biopsy revealed PCa on the right side with 4 of 6 cores positive and 40% of the tissue involved (GS = 3+4). The left side biopsy samples had only 1 of 6 cores positive and only 1.5% of the tissue involved (GS = 3+3).
I educated myself regarding the available options and read Dr. Walsh's book. I pretty much decided on the da Vinci RRP for myself. I met with another urologist for a second opinion and asked if I should get another biopsy. He responded, "If it quacks like a duck...".
I had the da Vinci RRP on 1/26/2011 and the catheter removed on 2/3/2011.
So now I am hopefully on the road to recovery.
Age 58; da Vinci prostatectomy on 1/26/2011
PSA History: 10/2005 = 1.7; 10/2007 = 2.8; 10/2009 = 3.6; 10/2010 = 4.9
Abnormal DRE in 2009; Increasingly abnormal DRE in 2010
Biopsy on 11/23/2010: GS = 3+4 (right side) with 4 of 6 cores positive involving 40%.
Post-OP pathology: GS=3+4; tumor = 35%; R. seminal vesical invasion; Extraprostatic extension into the R. bladder neck; margins uninvolved
Post Edited (axle) : 2/5/2011 5:28:57 PM (GMT-7)