Spent some time with URO yesterday afternoon discussing final path report. 4+3 and did have some tertiary 5, don't know %. Margins and 4 nodes clear, awesome, but focal posterior EPE. The tertiary 5 and the EPE concern me but am ecstatic about
rest of report. Can anyone tell me what the posterior surface is close to? Does focal mean it is just a small spot? Doc says we will just wait on 1st PSA and take it from there. If it is not undetectable, his opinion is that radiation of entire pelvic area is best treatment at that point. If undetectable, we wait for the next one. This pca is devious and I just want it banished.
Removed staples and Foley after 7 days (weird feeling but no pain) and I have had very little leakage since. Just a little blood yesterday evening and I have had on same pad all day today (6 hours so far) with no sign of leakage. Full bladder is painful but I have been able to hold it until I can reach toilet so far. Woke me up at 2 AM, very full and extremely painful in bladder area and down my penis, urination relieved the pain and I managed to wake up before it got that full for the rest of the night (every two hours). So, I am very hopeful about my prospects in this regard if I don't damage the connection and healing proceeds well. Doc said no kegels till it heals more but I am able to stop and restart my stream at will.
Doc says no Viagra till after 1st PSA and that if willie rears his head that I shouldn't use it. No problem right now, I think it would be too painful to even consider. He says just heal for the next 5 weeks and then we will talk about the future.
Well, better go take a nap and do some healing before I take a walk and check for leaks from that adventure. Beautiful day.
God is Good!
Age at diagnosis almost 66 PSA 3.17-->4.63-->5.09 in 14 months
7 of 10 cores, 1 3+5 87% 15.4%, 1 3+5 86% 16.7%, 1 3+4 78%, 4 3+3's & PNI
Post Surgical Path Report 3/6/12: staged pT3a
Final Gleason 4+3 with focal tertiary 5
EPE focal posterior
SVI negative, 4 nodes negative
Margins clear (yay!) Tumor 10%
30.37 grams 2.7 cm l, 3.7 w, 3.4 thickness