I have not been able to read the posts this past week as my classes began last week (I teach Physiology, Genetics, etc.) and it has been hectic - especially so, since I am still a bit on the "tired side."
Tomorrow is day 21 post surgery. The incisions are mostly healed and there is some belly "discomfort." I had some urethral issues post catheter removal but not all that bad. Cranberry juice helps. My leakage is following the usual progression, but seems to be improving. Coffee is the kiss of death and so I have been drinking more tea. I have also given up diet pepsi. The leaking gets worse as the day goes on and is quite embarrassing (to me) to wet when I am conducting my night class. But is it getting better. I now just use a a small pad. Micturition flow rate sometimes seems slow, but this may be my perception.
The great news is I was ED NEGATIVE on day 15 or 16 and orgasm POSITIVE on day 20. Dry orgasm is strange but I'll take it. I guess we have grown accustomed to (or been brainwashed to believe) that ejaculation and orgasm are the same. I did have to give up my day job as a **** actor standby.
My GF and I will save big bucks on tissues and wash fewer towels. I am a happy man but almost feel bad in telling you all as so many struggle with it.
I am very glad I switched urologists and went to a major center (UPENN) with a highly skilled surgeon. Dr. David Lee has done over 3400 of these robotic procedures and trains others. I wonder if he gets bored with it! If you watch the videos on this procedure, it is very tricky. Point: don't go to a place where they don't many robotic prostatectormies.
It certainly seems to be a huge positive that this was caught early and at age 51. Though a bit overweight, the 2000 miles of annual bicycling, near daily workouts of cardio, moderate weight lifting (no more 220 lb bench presses!) and high plant food diet may have helped. My reading has left me on a diet with very little meat (almost none). I miss the weights and intense cardio workouts and will ease back into my routines.
I feel very lucky compared to some patients, and certainly my brother who died at 49, 6 months after being diagnosed with metastatic pCA (my other brother had his out at age 56 and is doing well now at age 60) I am hoping for continued improvement and a 3 months PSA of ~0.
I can't thank you enough for the support, advice and suggestion of the Walsh book.
Best to all and some extra good vibes to you tonight.
Chris in Philly
PSA 12/11 - 4.8 (X2 due to finasteride)
Biopsy 1/12 - 2/12 ASAP
PSA 4/12 - 3.9 (X2)
PSA 10/12 - 10.7 (X2)
Biopsy 11/12 - 1 of 12 - 7% with perineural invasion
Gleason 3+3 =6
Bone scan & MRI negative prostate vol 18 G
Surgery at U. PA - Dr. David Lee 1/9/13
Catheter 6 days
Path: Gleason 6 (3+3), 2-10% + R&L, no capsule invasion, clear margins, SV and Lymph node negative