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bluefin
New Member


Date Joined Apr 2011
Total Posts : 7
   Posted 4/7/2011 8:32 PM (GMT -6)   
Hello fellow men....
I just got told that I have prostate cancer (PC)...  What a sucker punch.
I am 57 years old and in good health. I thought I had another 10 years before i would get this information. I am scared, confused, and numb.
I have read many post tonight so I will do my best on explaining my situation.
Gleason score 6
Stage  T1C
biopsy 12 sample   11 no cancer  1 cancer with only 7% has cancer
PSA 16 months ago 2.4 now 4.4
From what I understand they caught my PC at a very early stage
Rectal examine did no indicate cancer thats why I had a biopsy.
My urologists wants recommends using the Di Vinci
I only found out about the seed from reading these forums...
So I guess I have a lot of home work to do.
I will be buying Dr. Patrick Walsh's book.
I am looking forward on some moral support from everybody here. I do have a very supportive wife.
I am reasearching the seed method and surgury....
Thanks
 
 
 
 

daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 4/7/2011 8:36 PM (GMT -6)   
Sorry you have to be here but welcome!

Glad you caught it early, you have time to look at all possibilities and pick the one that you are comfortable with. It sounds like you are well on your way to becoming well educated, don't let anyone rush you.

Best of luck
Dave in Durango CO
07-06 PSA 2.5
01-08 PSA 5.5 (Dr never told me)
09-09 PSA 6.5
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5
03-01-10 Age 55 RRP in Durango CO by Dr Sejal Quale and Dr Shandra Wilson
03-16-10 Path' G-8 (4+4+5) Bilateral involving 21% of left lobe, 3% of right lobe, SVI, Focal positive margin, pT3b NO MX

All PSA as of 1-25-11 <0.04

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 4/7/2011 8:44 PM (GMT -6)   
Blue, sorry to hear about your diagnosis. Research and consider all options. I attend support group meetings with a person that was a G6 with a slow PSA doubling time. He went from 13 years before starting radiation treatments. Bb
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 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.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 4/7/2011 8:46 PM (GMT -6)   
Although it is important to verify your G6 with a second opinion from a top facility like John Hopkins or MSK.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 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.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4223
   Posted 4/7/2011 9:03 PM (GMT -6)   
Bluefin,
The Prostate Cancer Research Institute website has a lot of information for the newly diagnosed. Also consider adding Active Survelience to your research along with seeds and surgery. Take your time and get 2nd opinions from different fields.
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.

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 4/7/2011 9:10 PM (GMT -6)   
Bluefin,

Sorry buddy about that news. I was your age when I got the same news. Do your research once you have treatment you cant go back. Many of us made quick decision as to treatment. I know i did. I should have done more research don't think I would have done anything different. Saying that learning as much as you can at this point will help you feel a bit more comfortable with you choice of treatment.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
2 year PSA <0.1
Only issue at this time is ED but getting better

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 4/7/2011 9:11 PM (GMT -6)   
Bluefin,

Welcome here, sorry you need to join the club, but sounds like you already got your head together in the right direction. You will do fine. Definitely get a second treatment option opinion from a good radiation oncologist. The Walsh book will help you feel in the gaps. Ask all the questions you need, no such thing as a dumb question here.

Good luck, and hang in there. We are all in this together. Keep us well posted of your personal journey.

David in SC
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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

fulltlt
Regular Member


Date Joined Nov 2010
Total Posts : 264
   Posted 4/7/2011 10:09 PM (GMT -6)   
Welcome to HW,

I was 57 as well when I was diagnosed last year. I thought I was going to die soon.
I did a lot of research and talked with guys who had had surgery and others who had seeds.
I opted for seeds but when they did a second opinion on the biopsy pathology it came back worse
so they decided to do IMRT and then seeds. One thing that swung my decision was the urologist
that did my biopsy was so gung ho on robotic surgery. When we asked him how many he had done
he said 6. There was no way I was going to have him cutting me up with his robot.

It has been pretty uneventful for me so far as side effects go.

Best wishes to you whatever you decide.
age 57 2/2010
PSA Feb 8.2
biopsy 2/2010 - 2 of 8 left & 2 of 8 right positive, Gleason 3+4=7
attended support group - advised to get a second opinion
second opinion on pathology from Johns Hopkins 4+4=8
PSA 15 4/2010
5 weeks IMRT 4/2010-6/2010 at Copley Hospital in Aurora, IL
91 palladium 103 seeds 7/2010 at Chicago Prostate Center, Westmont, IL
PSA Oct 3.97, Dec 2.78, 3/9/11 2.42

proscapt
Veteran Member


Date Joined Aug 2010
Total Posts : 644
   Posted 4/7/2011 10:17 PM (GMT -6)   
Welcome bluefin. Sorry you hve to be here but you'll find it helpful. Your odds are excellent with your stats, so take your time and do your homework -- both about the treatment you want and about the most skilled and experienced doctor to provide it.
DX age 54 12/2009
PSA 5.6, DRE-, high pre-op PSAV. Clinical stage T1c
Biopsy: Gleason 3+4 with PNI / 6 of 14 cores + / 10% of total length + / worst 45% +
DaVinci RP 2/2010
pT2cNx / Gleason 3+4 / PNI+ / SM- / SV- / EPE- / Tumor vol 3cc / vol 40cc / 63 gm
PSA - 4/10 <0.01, 8/10 0.01, 12/10 0.01, 3/11 0.01

Flytyer2
Regular Member


Date Joined Dec 2010
Total Posts : 33
   Posted 4/8/2011 1:08 AM (GMT -6)   
Sorry about your diagnosis, but good luck with whatever option(s) you choose.
Age 61
PSA: 12/09 7.3 (Proscar) -- 7/10 9.06 (Proscar)
Biopsy 9/13/2010
Diagnosed 9/20/2010
One of 12 cores positive: <5%

RRP at Mayo Clinic, Rochester, MN 12/15/2010
Gleason 3 + 4 with tertiary grade 5
Tumor confined to the prostate
Surgical margins negative

Catheter removed 01/03/2011
Pad free with min leakage 01/18/2011

GOP
Veteran Member


Date Joined Dec 2010
Total Posts : 657
   Posted 4/8/2011 5:13 AM (GMT -6)   
Bluefin..love that name. We charter on a boat named 'Bluefin' that is anchored in Hatteras Harbor. You are a man with many options. At first glance, your diagnosis is very much like my own: I was 56 at diagnosis. I did the watchul waiting for nearly 2 years and would have done it for 20 if I could have. I think this is a very sound tactic, IF you have a good uro to monitor you. My disease went from 'insignificant' to 'significant' during that time, but I still had all options and chose brachy. No regrets: I am very happy with the choice. Point is, time is on your side. Use it to make a decison that is right for you.
Like everyone else, I bought and read the Walsh book. It is informative for sure, but highly slanted towards surgery IN MY OPINION. Balance yourself out by reading another book called Surviving Prostate Cancer Without Surgery by Bradley Hennenfent. I am very glad that I did. Then try to find a medical facility that offers multiple treatment options. That is your best bet at getting objective information beause as you will find there are those who will attempt to push you towards whatever their area of expertise is. God bless you.
Diagnosed in October, 08. One sample of needle biopsy showed Gl 6. Did watchful waiting for 18 months. PSA went fro 4.3 to 6.1. Surgery scared the heck out of me. Went to Schifler Cancer Center in Wheeling, WVA and spoke to a radiation oncologist. Had a mapping biopsy where 60 samples are taken. 15 were GL6, 1 was GL7. Had the brachytherapy on Oct. 4, 2010
First PSA post brachy on Jan. 6: 0.24

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 4/8/2011 5:13 AM (GMT -6)   
Hey Bluefin,

Welcome to the club. You are not the only one to be blindsided. I'm guessing about half of us here could say the same thing. I was 56, in perfect health when I got hit with my very first PSA result - 17.8.
As you learn more you will see you are in a very good spot. Education will make the journey easier.

Good luck to you.
Jeff

(I'm going to have a tuna sandwich in your honor.)
Age: 58, Mar 35 yrs, 56 dx, PSA: 4/09 17.8 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Glsn 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 4/10 .04, 7/10 <0.01, 12/10 <0.01
AdVance Sling 1/10/11 Dry

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 4/8/2011 5:25 AM (GMT -6)   
Bluefin:
I echo the wonderful advice you have been given by the members here at HW. It is a great patient-to-patient support group.
With your stats you have the time to do the research to find the -best treatment -best doctor - best hospital to deal with your PCa.
Healingwell has some great links at the top of the page for information and support - and remember that there is no such thing as a dumb question - just the one you did not ask.
Wishing you all the best on your new journey.
hugs,
BRONSON

p.s. have your wife (if you can) come with you on doctor visits - and bring a note pad and your questions - write down what they say - it can be information overload at time - and we all can forget stuff....
Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 6 of 12 cancerous samples, Gleason 7 (4+3)
Radical Prostatectomy:11/18/09
Pathology:pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA:04/08/10 -0.05 -Zero Club
PSA:09/23/10 -0.05 -Zero Club
PSA:03/24/11 -0.02 -Zero Club
PSA:03/24/12- TBA

bluefin
New Member


Date Joined Apr 2011
Total Posts : 7
   Posted 4/8/2011 5:39 AM (GMT -6)   
To all of who responded now and in the future, I want to thank you. Just in a 24 hr period while being here has made me feel like there is a tomorrow. Yes and when I was at the doctor on Wednesday getting this slap in the face I thought WOW not me. I was numb, very numb......... But coming here and reading lots of threads and reading your responses to me thread has lifted me back to a great life I have....... The urologist, surgeon, just explain to me what he wanted to do, the Di Vinci. So again by join you great guys and great supporters of these great guys I want thank you for lifting my spirit up........

Sushi on me if you are near the northest coast

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/8/2011 5:59 AM (GMT -6)   
Blue, I think it's safe to say that you will not find a more supportive and knowledgeable group for prostate cancer!

My husband was 57 years old at diagnosis (see my signature for his stats). We just celebrated the third anniversary of his surgery (robotic) in mid March and, as you can see, he's doing just fine.

You hang in there, learn all you can, then make the decisions that are comfortable for you. We're here to help and guide.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009 - 0.1, September 0.3, October back to 0.0, December 0.0, March 2010 0.0, September 2010 0.0.

reachout
Veteran Member


Date Joined May 2009
Total Posts : 725
   Posted 4/8/2011 6:38 AM (GMT -6)   
Sorry you got those news, but you're fortunate to have caught it so early. You have time, several months, to do research and figure out the next step. If I had been in your situation instead of my more advanced one, I would probably have chosen seeds, but there's a lot of pros and cons either way. You should get opinions from 2 or 3 doctors, including radiologists and surgeons before making any decisions.
Age: 66
Pre-surgery PSA: 7 tests over 2 years bounced around from 2.6 to 5.6
Biopsy 8 of 12 positive, Gleason 3+4, T2a
DaVinci August 2009, pathology Gleason 4+3, neg margins, T2c
Post-surgery PSA one year of zeros.
Continent right away.
Viagra and other pills only gave me headache
Trimix working great!

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4149
   Posted 4/8/2011 7:07 AM (GMT -6)   
Hi Bluefin:
 
Welcome to HW...sorry you have to be here but I think you will find a lot of good info here and a lot of caring people.  I can suggest several things at this point:
 
1.  Get another reading on your biopsy slides.  I can suggest Dr. Epstein at Johns Hopkins or Dr. Bostwick at Bostwick Labs.
 
2.  Read over the two locked threads on this forum started by Gleason6.  The posts got a little snarky hence the locking, but there is some good current info for a new PCa patient.
 
3.  Walsh's book is a great primer.  Another good book, IMHO, is "Invasion of the Prostate Snatchers" by Dr. Scholz and Ralph Blum.  The book is honestly controversial on this site.  I think Blum's sections are a little "out there" for my taste but I think the sections by Dr. Scholz are excellent and the book is an easy read.
 
4.  Make sure you consult an experienced radiation oncologist to fully understand you treatment options.
 
Best of luck and please keep us up to date.
 
Tudpock (Jim)

Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 4/8/2011 9:02 AM (GMT -6)   
Take your time deciding. You have plenty of time as I was just a year older than you when I too was blindsided, and our numbers were somewhat similar. Do not be one of these guys whose doctors pushes them into radical surgery 6 weeks after your biopsy. Learn all your options be it radical radiation or surgery. There's also active surveillance or possible clinical study treatments like what I had to check on. You can take months deciding. Do not panic!!! For there are no do overs after radical treatments and many times for PCa the cures are far worse than the disease especially when it's a typical low risk gleason 6 .
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A

2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study

4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal

7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy

2/16/10 12 of 12 Negative Biopsy

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 4/8/2011 9:18 AM (GMT -6)   
Bluefin, welcome to HW, sorry you have to be here.... You've already received a wealth of info, plus all the reading you have done and will do should help you to realize that world hasn't come crashing down or come to an end. Take your time, gather all info, process it and come to a decision. Once the decision is made, try no to look back and second-guess it. But, if you do have second thoughts, then remember you are in control not a scheduling calendar or some office scheduler. Do what you need to do to make yourself as comfortable with your decision as possible.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 12/10-.09, 02/11-.08
ED-total-Bimix 30cc

Bluepoint oysters
New Member


Date Joined Apr 2011
Total Posts : 8
   Posted 4/8/2011 9:21 AM (GMT -6)   
Just had radical robotic on 4/5/11 day one was a nightmare. Had bladder spasms urine leaked all over me for 24 hours.doing better now at home still waiting for bowel movement 72 hours later. Anyone know how long it will take. If I should use laxative. My dr is also impossible to get in touch with. Had 3-3 gleason 7.4 psa 50 years old

Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 4/8/2011 9:29 AM (GMT -6)   
Bluepoint oysters said...
Just had radical robotic on 4/5/11 day one was a nightmare. Had bladder spasms urine leaked all over me for 24 hours.doing better now at home still waiting for bowel movement 72 hours later. Anyone know how long it will take. If I should use laxative. My dr is also impossible to get in touch with. Had 3-3 gleason 7.4 psa 50 years old



I suggest you start a new thread Bluepoint. Use the header/subject like "3 days after surgery" that will much quicker put you in touch here with others who have had radical surgery and what to expect and do. Your post here in another thread won't draw as much attention or as quickly starting your own, And there are plenty of surgical vets to help you. Sorry to say I'm not one and the most help I can give you I just did...good luck and a speedy recovery/.
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A

2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study

4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal

7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy

2/16/10 12 of 12 Negative Biopsy

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 713
   Posted 4/8/2011 9:37 AM (GMT -6)   
Bluefin;
Welcome to the club that no one wants to be in.I really don't have much more to offer than whats been said. Questions and venting are always welcome here!
Every minute you fish or ride,adds an hour to your life!

Age 52 Dx age 53 daVinci surgery
prostate volume 32 grams
Biopsy 12 cores with 7 positive
Gleason score of 7
1st PSA 38.7 10/05/2010
2nd PSA 49.9 11/23/2010
CT neg.
BS Negative
RRP on 01/25/2011
PT3a -40% involved
margin involved-Left anterior
lymph nodes -clear
1st post op PSA-0.26-03/16/11

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/8/2011 10:14 AM (GMT -6)   
Bluepoint oysters said...
Just had radical robotic on 4/5/11 day one was a nightmare. Had bladder spasms urine leaked all over me for 24 hours.doing better now at home still waiting for bowel movement 72 hours later. Anyone know how long it will take. If I should use laxative. My dr is also impossible to get in touch with. Had 3-3 gleason 7.4 psa 50 years old


BM took me 3 days. I heard it can take longer. No excuse for your doc and/or staff not being available to you in this time.

I took the softner and it helped.

he bladder spasms for the first 6-12 hours out of surgery was the worst thing along with the drain being removed.

I found that the entire process got better and easier on a daily basis.

JoeFL
Regular Member


Date Joined Oct 2009
Total Posts : 420
   Posted 4/8/2011 1:00 PM (GMT -6)   
Bluefin,
 
Sorry you are here....but glad you found this site. There is a wealth of info here. I was also a G6/T1. You will soon learn, as did I, that you have many options and that, with your numbers, the cure rates for surgery, seeds or a seed/IGRT combo are very comparable. Be sure to consider them all, with particular atttention to QOL and side effect considerations.
 
Best wishes on the journey.
 
Joe
Age 68 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. 25 IGRT sessions ending 3/22/10 - some fatigue until 30 days after last treatment. PSA as of 12/9/10 - 0.1

Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 4/8/2011 1:52 PM (GMT -6)   
Bluefin, I'll echo what others have said - it was a strong shock to receive the news of the cancer. I was depressed until found this website and read through just about all of the archived postings. There's a wealth of knowledge here that helped me remain calm and make the right decisions. To me, the most important thing is to have a primary care physician you trust. From there it gets easier, because that physician should help guide you through this and will be the one who monitors you pre and post treatment cycle. There are many good doctors and medical centers, so don't think there are just one or two. Of course, more and better options are typically available in the larger cities where medical schools and leading medical centers are located. I'm fortunate to be living in Chicago, for those reasons.

Bluepoint, surgeons and specialists are very busy but typically give patients the name of a physicians assistant or nurse with whom you can be in quick or constant communication. I dealt only with my surgeon's physicians assistant post-op until my first post-surgical exam with the surgeon, and it's remained that way since. My primary care physician is the one who I'm in touch with with any concerns and that's the way the specialists I have organize their practice. It's the same with my cardiologist/surgeon - they did my stent work and my primary care guy handles the follow-up. So if you want to speak with the surgeon call his office and get the name of the nurse or assistant and tell him/her what's going on.
Age: 61 (58 at diagnosis - June, 2008)
April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior
June '08 had biopsy, 2 days later told results positive but in less than 1% of sample (Gleason's 3+3=6)
Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days
Dr. recommended robotic removal using da Vinci; Surgery 9/10/08
Northwestern Memorial Hospital, Chicago, IL; Dr. Robert Nadler, Urologist/Surgeon
Post-Op Gleason's: 3+3, Tertiary 4; Margins: Free ; Bladder & Urethral: Free
Seminal vesicles: Not involved; Lymphatic/Vascular Invasion: Not involved
Tumor: T2c; location: Bilateral; Volume: 20%; Catheter: Removed 12-days after surgery
Incontinent: Yes (1 to 2 light (woman's style) pad per day)
ED: Combination of Cialis and MUSE (alprostadil) once weekly: started 9-27-08
Returned to work 9-29-08 (18-19 days post-op)
PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0; 3/10: 0.0; 9/10: 0.0
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