I just finished reading my Prostate binder again. It contains my Op report, Pre and Post-operative pathology. All my PSA’s, all of my office visit Co-Pay receipts, lots of notes in pencil (yes I’m a pencil guy)
Following an elevated PSA finding I had my first office visit with the urologist on 09/10/2009. Biopsy completed on 09/24/2009 and had surgery on 11/2/2009.
For some reason I always tell people that I was 52 when I had surgery but I was actually 51.
With 10 of 12 positive cores and the right lateral base involving 75% of the core, I was able to make the decision to have surgery while I was on the phone with the urologist as he was reading the pathology report. Because my father died of advanced prostate cancer I had already done a huge amount of research on the topic. I had an out of pocket MRI. I talked with 2 radiologist. I had several visits with a good friend of mine that is a pathologist. about
an hour after that phone call I had the surgery scheduled. I would have done it the next day but he insisted on a period of healing from the biopsy before he would do the surgery.
The following 30 days were a killer. I spent extra time on the bike, running, stacking in extra wood and I worked extra hours so that I could be ahead when I took the week off for surgery. I was in the best shape of my adult life as they wheeled me into the operating room.
Surgery was a huge non-event. I never took a pain shot or pain pill. My recovery was fast and I was back to normal in 3 weeks. I was doing so well that it was difficult for me to follow the instructions and typical restrictions that were given to me. With my surgeons consent I took my catheter out on the 12th (I didn’t want to drive for 90 minutes one way to have it done in the office) and was back at work on the 16th. After 30 days you could not have guessed that I had surgery. One oddity is that I was never able to get back into running. At the time I was doing approximately 20 miles a week. Nothing drastic but I really enjoyed it. For reasons that I can’t explain I just couldn’t get back into it and I really tried for several weeks. Back to the bike was a natural until I got whacked by a very nice lady in a ford explorer.
So 9 years out I’m still seeing < on my uPSA result. I have some stress incontinence (very little but it is what it is), I don’t need a pad or anything but I do need to be careful. My day job is at a desk but at home (on the farm) I’m very active and do all kinds of work. As an example I split wood for 2 hours last night. Another oddity is that I have lost interest in sex. I don’t have ED issues but post-surgical sex has never been “normal”, it never will be. It actually sucks.
Would I do surgery over again? With the technology as it were in the day, Yes… However given some of the wonderful advancements in radiation therapy that are available today I believe the conversation on the phone with the urologist would have ended with thanks for all you have done, I’m going to schedule my radiation therapy now.
Father died from complication of metastatic prostate cancer
I was Diagnosed at age 52
10 of 12 cores positive with 4/3 G7, Post-Op Status = T2NoMoG7-(StageII)
Robotic Surgery, Wash-U/Barnes, St.Louis, Mo. Adam Kibel M.D. who is now Chief at Brighams
Post Edited (Herophilus) : 3/16/2018 12:49:56 PM (GMT-6)