That sounds like an excellent outcome over all.
Yes Gleason 8 is worse than you/he thought, but an actual PSA of less than 0.01 at four weeks is as good as anyone would hope for. Your dad is in the zero club.
I disagree with Ed, and don't think it's time for adjuvant treat,ent, but I'm not medically qualified to say that. However it looks to me like there has been no spread given such a low PSA and I would think that the docs may reappraise his situation on the basis of this and that he won't need any more treatment just yet. (my first post surgery PSA was 0.1 and they didn't do anything at that stage even though my cancer had spread to the seminal vesicles; they waitied till there was a rise above 0.2.)
Four weeks is early days in the continence battle, especially as I'm guessing it's only three weeks since the cath came out.
Getting up at night can be helped by not drinking too much if at all after about
8pm. And remember that too many kegels can have an adverse effect as they make the muscle tired. I find that my night situation gets worse if I lie in bed awake and worrying about
it, so I usually try some simple thngs to relax me at bedtime.
Not sure about
night sweats, has the doc suggested any help. Could just be his body's reacton to all the meds he's had (both for surgery and for pain elief after.)
And I know that this is the difficult area for daughters to deal with, but I hope he's not suffering in silence about
ED etc and knows what to do to help achieve optimum recovery over time.
04/09 PSA 8.6, DRE neg. Biop 2/12 pos. G6
07/09 RALP in Amsterdam
PostOp G=3+4 Bladder neck & SVI -T3b. No PNI No vasc.inv. Clear margins
09/09 No pads
07/12 1 pad per day
11/09 PSA 0.1
03/10 PSA 0.4 04/10 CT.
Summer/10 66Gy SRT
No real EDenglishalf.blogspot.nl/