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HD_Rider
Regular Member


Date Joined Apr 2011
Total Posts : 416
   Posted 4/21/2011 12:07 PM (GMT -6)   
Hello folks,
 
New member here, not by choice but by circumstance.  I've just been diagnosed with PCa.
 
I'm 49, married, non-smoker, in decent health with no family history of PCa.  I first learned about PSA levels back in 2007 when a test was done in conjunction with an annual physical.  At that time, my PSA was 3.7 and my doctor said we'll have to keep an eye on it.  Since he seemed not too concerned with it, I didn't pay attention to it assuming he was the doctor and knew better than me.  Well, my doctor moved out of town and I let the annual physicals slip. This past January, I finally went to another doctor.  I was pretty sick with the flu and I knew a physical was in order anyway.  At that time, another PSA test was done and the results came back at 5.0 with a free PSA of 17%. The doctor put me on a 10-day regimen of Levaquin, 750 mg daily.  After the Levaquin regimen was finished (in early February), I went back for another blood test, which subsequently came back at 4.5.  That's when I was referred to a urologist.
 
The biopsy was performed on 4/13 and I received the results two days ago (4/19).  My prostate was measured via ultrasound to be 25cc in size, which the doctor put at "small to average."  He performed a 12-core biopsy and I did get a copy of the results, though the report only shows 6 line entries as listed below: 

A. Core needle biopsy of prostate, right apex: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
B. Core needle biopsy of prostate, right mid: Adenocarcinoma, Gleason score 3+4=7, involving approximately 50% of the prostate tissue.
C. Core needle biopsy of prostate, right base: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
D. Core needle biopsy of prostate, left apex: Adenocarcinoma, Gleason score 3+3=6, involving less than 5% of the prostate tissue.
E. Core needle biopsy of prostate, left mid: Benign prostate tissue, no tumor seen.
F. Core needle biopsy of prostate, left base: Atypical small acinar proliferation.
 
I have been researching all I can on the internet and the biospy results at least suggest I have a treatable desease.  It's just selecting a treatment that's the hard part.  I have my follow-up with the urologist next week and I fully expect him to recommend surgery.  I plan to meet with my family practitioner after my follow-up with the urologist in hopes she can refer me to a medical and / or a radiation oncologist so that I can learn more about other treatment options.  But at this point, I'm not sure options other than surgery would apply to my specific case.  I'm scared to death of incontinence but understand this may be a necessary evil that I'll have to learn to live with.
 
I hope to learn a lot more in the coming days and weeks from this forum and other sources.  I've already got the "primer" book on order and awaiting its arrival.  Until then, the stress and worry are exacting a heavy toll on me.

Thanks everyone for any words of encouragement.  I certainly need them.

bluefin
New Member


Date Joined Apr 2011
Total Posts : 7
   Posted 4/21/2011 12:23 PM (GMT -6)   

WELL GLAD YOU JOINED. I too am a new member , almost 3 weeks....The shock of it all is just starting to wear off.. Starting to feel normal. Read as must as you can and talk with several doctors. As everybody here has expressed make the decision for yourself.

I am assuming you ride HD..... Well when this is all said and done for the both of us I'll take you fishing and than we can go riding. In the mean time, and it is easier said than done but try not to worry.

Good luck..

 

Jim

 


Gleason 6
Veteran Member


Date Joined Mar 2011
Total Posts : 876
   Posted 4/21/2011 12:32 PM (GMT -6)   
I found out I had PC not quite a month ago. My mind would not stop racing and I could not stop thinking about it. I said to my wife, "I always thought we would grow old together". With the support I received here, and reading, I realized that I was not going to die today or tomorrow. You have treatment options and as you will find out here, take your time and explore all the options that are available to you. You are going to be okay.
Age 61
PSA 4.3 9/10
PSA 5.5 2/11
PSA 7.1 3/11
Template Biopsy 6 pos out of 40 3/25/11 GS 6 (3+3)
CT bone scan neg
6/18 areas positive - 2 in left base, 4 left apex. 6/40 cores pos. 33cc.
Stage T1C
Uro said 2 in left base, 4 left apex, but looking at the path report, I see:
L apex anterior, L apex mid, L apex posterior, L apex lateral, L base mid, L base lateral

pattersson
Regular Member


Date Joined Apr 2010
Total Posts : 97
   Posted 4/21/2011 12:39 PM (GMT -6)   
Hi there HD_Rider

Sorry about your diagnosis, glad you found the forum. With your numbers, there is high probability of complete cure. Treatment choice is not fun but, on the other hand, it is much better to have many options rather than none! I went the surgery route and it worked ok for me. I was a bit nervous before the surgery, but at the hospital they gave me a red pill, and after that it was smooth sailing. For me, incontinence and ED have been manageable.

After the diagnosis there is shock. However, after a while you'll start feeling in command again
Radical prostactemy 10/2006 @42, PSA 3.9, Gleason 3+4
PSA <0.2 2006-2009

PSA 0.14 01/2010
0.07 05/2010
0.06 10/2010

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 4/21/2011 12:47 PM (GMT -6)   
At least you caught it before it REALLY got out of hand...But you are correct, your life is about to change..I hope you have good medical insurance in place because this event is going to test it..Also get a copy of Dr. Walsh's book, 'guide to surviving prostate cancer" as it's far more detailed than "primer"...

Be SURE to look into Brachytherapy plus IGRT radiation treatment as this treatment path offers the highest overall success rate. Your small prostate makes you an ideal candidate. Be aware the doctors all push what they are selling and will cherry-pick statistics and charts to support their sales pitch. You may have to seek out doctors who perform the seeds and beam radiation treatment as they are in the minority..And get pre-approval from your insurance company so there are no surprises..

The most important thing to remember is these treatments are only as good as the doctors who perform them. Seek out the BEST doctors you can and you can beat this....
Age 68.
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/21/2011 1:50 PM (GMT -6)   
It is treatable and there are great chances you will grow old together.

Regarding incontinence, we all react differently, some have none at all, some mild, some more severe. But I think that in all cases the situation improves with time.

Sounds like you know exactly what you're doing. Good luck.
40 years old - Diagnosed at 40
Robotic Surgery Mount Sinai with Dr. Samadi Jan, 2011
complete urinary control and good erections with and without meds
Prostate was small, 34 grams.
Final Gleason score 7 (3+4)
Less than 5% of slides involved tumor
Tumor measured 5 mm in greatest dimension and was located in the right lobe near the apex.
Tumor was confined to prostate.
The apical, basal, pseudocapsular and soft tissue resection margins were free of tumor.
Seminal vesicles were free of tumor.
Right pelvic node - benign fibroadiopse tissue. no lymph node is identified.
Left pelvic node - one small lymph node, negative for tumor (0/1)

AJCC stage: pT2 NO MX

njbmwgs
Regular Member


Date Joined Apr 2011
Total Posts : 47
   Posted 4/21/2011 2:44 PM (GMT -6)   
Hello fellow new guy. I have very similar results to yours and am also recently diagnosed. I'm reviewing my CT and bone scan results w/my Uro tonight. Fun, fun!

Yes, the first few weeks after diagnosis were the hardest (so far) for me to be sure. I couldn't sleep, I cried at anything and everything and couldn't even talk about it with some people without wondering if I'd ever have a conversation w/them again. In my case, talking about it has been very cathartic and worthwhile. The thing to remember is this IS a very treatable condition in most cases. The survival rates are very good comparative to other cancers.

I, like most, have done an incredible amount of research and have explored 1000 different variations on how and what are the best treatment options for my PCa. One thing that people keep telling me is "take your time" and "find the best treatment that works for you". So, I am! If your condition allows for it, then don't rush to a conclusion on treatments.

In my case I've just begun to setup consultations with DaVinci docs, radiation onc's and a Dr. that specializes in proton therapy as well. I'm exploring all the avenues and will make a decision once I've weighed all the options.

Chin up, stay positive and surround yourself with people who support and care about you, including the great group on this site.

in good health,

Brian

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 4/21/2011 3:13 PM (GMT -6)   
HD-rider, your biopsy report indicates a small gland and your Gleason of mostly 6 and one 7 gives you several treatment options. We all have biases to our own treatments so take your time and study all of them. You may want to recheck the biopsy slides with at John Hopkins to confirm it. Brachytherapy, Radiation and surgery all good options at your age. They all have side effects. Surgery's effects are immediate and get better with time while the other 2 may delay the side effects for a while. Keep us posted and good luck.
Age: 67 at Dx on 12/30/08 PSA 3.8
2 cores out of 12 were positive Gleason (4+4)
Davinci surgery 2/9/09 Gleason 4+4 EPE,
Margins clear, nerve bundles removed
Prostate weighed 57 grams 10-20% involved
all PSA tests since (2, 5, 8, 11, 15, 18, 21, 2 years <.008? ) undetectable
27 months: .005

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 713
   Posted 4/21/2011 3:34 PM (GMT -6)   
HD-Rider welcome to a very distinguished club that no one wants to be in.
I am just 11 weeks out of surgery and my incontinence is down to 1 pad a day. Basically stress incontinence, lifting stuff, sudden moves stuff like that.
I too am an HD rider,feel free to email me,if your close we can get together,ya know another kind of brotherhood!
There is tons of information and some times it's over whelming. I had my wife read the books cause she has a better memory than I do. She also goes to all the doctor visits because women ask more questions than men do.
The people here are great and gave give you lots of info and some times a laugh or too,when you really need one. Also feel free to vent here if needed.
Good Luck and keep us informed.


Dave A.K.A. Slink
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

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 4/21/2011 7:39 PM (GMT -6)   
HD-
-welcome to HD - you seem to have your #$%$ together and have your approach in order - it can get confusing with all the variables and what-ifs...
-essentially, you want the best treatment for you - the best doctor for you - the best hospital for you -
-there are side effects to all of the various forms of treatment
- it is sometimes frustrating finding the best treatment with the Quality of Life vs. Side Effects vs. Quantity of Life ...
-wishing you all the best.
BRONSON
Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 2 of 12 cancerous, 5% involvement -Gleason 7 (3+4)
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

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/21/2011 10:52 PM (GMT -6)   
hd,

i also welcome you aboard our hw community. glad you managed to find you. from reading your post, sounds like you are well on your way about your situation and any possible treatment choices ahead. that puts you a few steps ahead of many that are newly dx.

i wish you the best, and feel free to ask away anything that comes to mind. no such thing as a dumb question when it comes to cancer.

hope you keep us posted of your 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 margin
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, 4/11 3.81
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

HD_Rider
Regular Member


Date Joined Apr 2011
Total Posts : 416
   Posted 4/26/2011 3:07 PM (GMT -6)   
Well, here is where I'm at.
 
Based on my research and factors such as my current health, age, gleason scores, risk vs. rewards of various treatments available to me, etc., my feelings are that removal of the prostate is the correct choice for me and I've chosen robot-assisted laparoscopic prostatectomy (RALP, i.e., DaVinci).
 
I've spoken with my family doctor (yesterday) and my urologist (today) and they both agree with my choice.  I'm waiting on my family doctor to set me up with a referral to a second urologist, first just to confirm my own feelings on my chosen method and second (more importantly) because he has a bit more experience with the RALP method.
 
Both urologists are at the same facility and are colleages.  I am told that all this center performs now is RALP surguries rather than the old "open" method.  However, the first urologist has only done about 175 of these surguries whereas the second one I'm waiting to speak to has done well over 400.
 
The only problem I have now is waiting to speak with the second urologist.  I'm being told that at present, I won't be able to see him until mid June, and then it's another 4 to 6 weeks after that until surgery can be scheduled.  So I'd essentially be looking at surgery sometime in July at the earliest.  My family doc is trying to pull some strings to get me in to see him sooner.  However,  my first urologist seems to think I have ample time and don't need this thing out of me tomorrow, though I can tell you it's hard dealing with it psychologically (I'm glad I found this forum for support).
 
For now, I am focusing on exercise and keeping myself occupied with other activities, one of them being motorcycling.  Wait, isn't that more dangerous than PCa?  LOL.
__________________________
John (HD_Rider) - Wichita, KS

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/26/2011 3:16 PM (GMT -6)   
where are you living? No reason you should wait that long. I saw three guys within a week
40 years old - Diagnosed at 40
Robotic Surgery Mount Sinai with Dr. Samadi Jan, 2011
complete urinary control and good erections with and without meds
Prostate was small, 34 grams.
Final Gleason score 7 (3+4)
Less than 5% of slides involved tumor
Tumor measured 5 mm in greatest dimension and was located in the right lobe near the apex.
Tumor was confined to prostate.
The apical, basal, pseudocapsular and soft tissue resection margins were free of tumor.
Seminal vesicles were free of tumor.
Right pelvic node - benign fibroadiopse tissue. no lymph node is identified.
Left pelvic node - one small lymph node, negative for tumor (0/1)

AJCC stage: pT2 NO MX

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/26/2011 3:19 PM (GMT -6)   
John,
Yes it can be more dangerous. Be careful when riding as I am certain you know it's usually not the biker that causes an accident. My best buddy walks around on a prothetic leg and his wife had 27 surgeries after an encounter with a DUI driver. I ride but only on the dirt with my toys.

Witchita has one of the top live support groups you might be interested in. UsTOO Witchita.
www.ustoowichita.org/

One of the former chairmen is a member here (Putt). Chuck Maack is also well known to prostate cancer survivors. I run the Las Vegas chapter of UsTOO and we are all focussed on education and support. You might look them up before you set a date for surgery...

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

HD_Rider
Regular Member


Date Joined Apr 2011
Total Posts : 416
   Posted 4/26/2011 3:26 PM (GMT -6)   
Thanks, TC.  I've already established a pretty good dialog with Chuck.  In fact, he has been a great help in suggesting experienced urologists in my area.  I can only assume the second urologist must be pretty good if it's that hard to get in to see him.  Maybe it's just my positive thinking telling me that....
__________________________
John (HD_Rider) - Wichita, KS

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 713
   Posted 4/26/2011 3:34 PM (GMT -6)   
TC;is there an UsToo group in the Cincinnati area?
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

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 713
   Posted 4/26/2011 3:36 PM (GMT -6)   
TC;is there an UsToo group in the Cincinnati area?
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

Newporter
Regular Member


Date Joined Sep 2010
Total Posts : 225
   Posted 4/26/2011 4:00 PM (GMT -6)   
John,

Welcome. Choose your treatment option carefully. Only you and your doctor can decide, here we can only share our experiences and give our unscientific opinions. That said, I think you should read Fariwind's comments carefully. He had been through a lot and have a lot to offer.

Even though I have excellent outcome with robotic surgery, with no incontinence or ED at all from the get go, now I consider myself very lucky after reading lots of posts here. many surgery guys here seemed to have problems (side effects) after surgery. They talked a lot about side effects like incontinence and ED and their struggles through recovery whereas radiation guys (Brachy or IMRT or proton) had nothing but praises about their outcome and only a few talked about minor problems during treatment. I know it is not scientific but there must be something there.

Good luck and best wishes.
65 Dx June-2010 PSA: 10.7, biopsy: Adenocarcinoma, 1 core Gleason 6, 3 cores atypia; Clinical stage T2; CT, Bone Scan, MRI all negative

8-23-10 Robotic RP; Pathology: Organ confined, negative margins, Lymph nodes, Seminal Vesicle clear; PNI present; multiple Adenocarcinoma sites Gleason 3+3 with tertiary Gleason 4+. Stage: pT2,N0,Mx,R0

Catheter out 8-30-10 no incontinence, no ED. 3/2011 PSA: <.1

HD_Rider
Regular Member


Date Joined Apr 2011
Total Posts : 416
   Posted 4/26/2011 4:18 PM (GMT -6)   
Thanks for the advice, Newporter (and Fairwind).  But without starting a debate, it's not really the short-term results that scare me as much as the long-term effects.  The long-term effects that can result from radiation scare me to death (no pun intended) and if I was a bit older, I'd have probably gone with that.  But I plan to be around a good long time and want to minimize any health issues that might pop-up as I reach my golden years.
John (HD_Rider) - Wichita, KS

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 4/26/2011 4:19 PM (GMT -6)   
DaSlink, not TC, but here's the info for the Cincy chapter

www.ustoo.org/Chapter_NearYou.asp
James C., Age 64, Kingsport, E. TN
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

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/26/2011 6:52 PM (GMT -6)   
DaSlink,
Check your Email...

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

HD_Rider
Regular Member


Date Joined Apr 2011
Total Posts : 416
   Posted 4/27/2011 8:14 AM (GMT -6)   
Hey folks,
 
One of the things I forgot to ask the urologist yesterday (shame on me) was regarding the cancer I have present in my left and right apex.
 
Again, here are my biopsy results:
 
A. Core needle biopsy of prostate, right apex: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
B. Core needle biopsy of prostate, right mid: Adenocarcinoma, Gleason score 3+4=7, involving approximately 50% of the prostate tissue.
C. Core needle biopsy of prostate, right base: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
D. Core needle biopsy of prostate, left apex: Adenocarcinoma, Gleason score 3+3=6, involving less than 5% of the prostate tissue.
E. Core needle biopsy of prostate, left mid: Benign prostate tissue, no tumor seen.
F. Core needle biopsy of prostate, left base: Atypical small acinar proliferation.
 
I understand that the apex is close to the external sphincter.  What implications does this have for nerve sparing (and sphincter sparing) RALP?  Or is cancer containment within the prostate the only criterion for whether nerve sparing (and sphincter sparing) can be done or not?  My urologist did say yesterday that he felt that the cancer is still contained within the prostate but he can't say for sure until the RALP is performed and a post-operative biopsy of the prostate is done.

John (HD_Rider) - Wichita, KS

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 4/27/2011 10:58 AM (GMT -6)   
John, I have a couple of thoughts on your situation:
 
1.  I understand that you don't want to debate the radiation vs. surgery issue and I respect that point as well as your choice of surgery.  However, early in this thread you indicated that you intended to consult with a radiation oncologist concerning your case.  If you did and have taken that into account re your decision, great and I apologize for interrupting your flow.  If you have not, you may want to do so since it looks like you have some time before a surgery is scheduled anyway.  I'm not sure what long term radiation effects concern you, but an experienced radiation oncologist should be able to answer any of your questions and then you can know you have made an educated choice.
 
2.  I applaud your decision to seek out a more experienced surgeon.  Studies show that 250 is the cut off point for better success in open surgery.  There are those on this forum who believe the number is significantly higher for da vinci.
 
3.  Re the questions in your last post...why don't you pick up the phone and call back the urologist?  If he/she is worth a dam* they certainly should be willing to answer your follow up questions.
 
Tudpock (Jim)
Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 12/8/10. PSA: 6 mo 1.4, 1 yr. 1.0, 2 yr. .8. My docs are "delighted"! My journey:
http://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1305643

Newporter
Regular Member


Date Joined Sep 2010
Total Posts : 225
   Posted 4/27/2011 11:14 AM (GMT -6)   
You certainly asked the right questions regarding cancer locations:

"A. Core needle biopsy of prostate, right apex: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
B. Core needle biopsy of prostate, right mid: Adenocarcinoma, Gleason score 3+4=7, involving approximately 50% of the prostate tissue.
C. Core needle biopsy of prostate, right base: Adenocarcinoma, Gleason score 3+3=6, involving approximately 20% of the prostate tissue.
D. Core needle biopsy of prostate, left apex: Adenocarcinoma, Gleason score 3+3=6, involving less than 5% of the prostate tissue.
E. Core needle biopsy of prostate, left mid: Benign prostate tissue, no tumor seen.
F. Core needle biopsy of prostate, left base: Atypical small acinar proliferation."

I read somewhere that if the cancer is too close to the apex and the sphincter, or the bladder neck, it might have an impact on side effects like incontinence. So, it is an important question to ask and make sure you discuss with your urologist and surgeon about the cancer location and their opinion regarding side effects. If they don't think it is an issue, then at least you have that question covered.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 4/27/2011 1:06 PM (GMT -6)   
When a "Radical Prostatectomy" is performed, they remove the ENTIRE gland, "apex" and all, and that includes the part of the urethra contained in the gland. You lose that sphincter..Fortunately, males have two sphincters and hopefully the remaining one can do the job. It does about 80% of the time...
Age 68.
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0
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