Why are they only concerned with death statistics? What about
quality of life?
Are there any statistics that track incontinence and impotence vs diagnosis date? Are there higher incidences of incontinence and impotence if the patient has a higher PSA and is further along the PCa curve upon diagnosis?
I discovered my PCa at age 56 when I happened to have my first PSA test due to a new employment situation. My PCP gave me "complete" annual physicals but did not order PSA tests with all the usual blood work. "A European study indicated it only saved one life in 1000, so our office does not routinely order the test." My PSA was over 17! Then 22! The biopsy showed 7/12 positive cores with up to 70% involvement. I had surgery and ended up incontinent and impotent - costing the medical system a small fortune in follow up surgery and treatments. And a lot of misery for me. I'd be lying if I said I didn't miss my erection every day.
If I had my surgery 2 or 3 years earlier when my PSA was 5.0 (estimating since I didn't have a screening PSA then) and my tumor was only 5% (also estimating), would I be continent and capable of having an erection today? How would my quality of life have been improved? How much would the medical system have saved if I was treated 2 years earlier?
I am sure I am not the only one in this situation. I can think of several guys here with first PSAs of 30s, 40s, 50s. How much would the system have saved if they were treated when their PSA was 5-8 and the tumor small. Where are the statistics that show followup radiation, incontinence surgery, etc. would not be necessary?
Thanks for thinking of us. If you want a poster boy for earlier detection give me a call. I'll testify.
Age: 64, Mar. 41 yrs, 56 dx, PSA: 4/09 17.8, 6/09 23.2
Biopsy: 6/09 Pos 7/12, 20-70%, G 4+3, Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: G3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE, PNI exten., Sem Ves, Vas def clear, Lymph 0/13
Incont: AdV Sling 1/11
PSA: 10/09 .04, 7/10 <0.01, 7/11 <0.01, 1/12 <0.02, 9/12 <0.02, 4/13 <0.02, 3/14 <0.02, 4/15 <0.02!
Post Edited (Worried Guy) : 4/11/2017 11:50:12 AM (GMT-6)