Completed annual physical with internist—8-years post-treatment

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NKinney
Veteran Member


Date Joined Oct 2013
Total Posts : 678
   Posted 9/13/2017 9:39 AM (GMT -7)   
Undetectable PSA after >8 years since surgery. For years now, I've had my annual PSA test as part of my normal physical exam blood work, then I email my surgeon's PA the result.




We always go over the list of meds I take, both prescribed and over-the-counter. He's asked me this before, but asked again this year, "Where do you get your tadalifil (Cialis active ingredient)?"

"Offshore mail-order," I reply (again).

"How's it working?" he asks. "Working well," I reply, not feeling the need to embellish about this morning's most excellent conjugal relations.

"The quality of offshore medications cannot be assured, and I would never recommend offshore critical patient meds such as heart regulation treatments, but for erectile dysfunction it's fine. You may have a slight decrease in potency, but you'll probably never know it."

I shrug. "It's been fine."

"Most of my prostate cancer patients do the same thing," he adds.


See you next year!

Post Edited (NKinney) : 9/14/2017 11:45:03 AM (GMT-6)


InTheShop
Veteran Member


Date Joined Jan 2012
Total Posts : 7895
   Posted 9/13/2017 12:37 PM (GMT -7)   
Great report.

Glad to hear things are going well.
Andrew
I'll be in the shop.
Age 57, 52 at DX
PSA:
4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13,
.7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16, .4 10/16, .4 5/17
G 3+4
Stage T1C
2 out of 14 cores positive
Treatment IGRT - 2/2012
My latest blog post

island time
Veteran Member


Date Joined Dec 2014
Total Posts : 1261
   Posted 9/13/2017 9:15 PM (GMT -7)   
NKinney said...
See you next year!
smile

Aimzee
Veteran Member


Date Joined May 2010
Total Posts : 1390
   Posted 9/14/2017 5:18 AM (GMT -7)   
Andrew, just a special note to tell you that you are doing just fine. I enjoy reading your posts. As you may remember, Ron's PSA has been pretty stable. We'd like to believe the cancer is gone - for sure - nothing is a guarantee. Unfortunately, he deals with great pain every day due to a combination of problems. However, life is pretty good and the Grandchildren are growing and healthy.

I check up on some special friends and to see what's going on with others. Take care everyone!
Husband Ron, age 63 (2010)
4/1/10 PSA 5.5 Prostate size = 50 grams
Biopsy on 4/20/10 12 samples. Adenocarcinoma: 3 positive cores on right side-No Perineural Invasion Gleason 6 (3+3) Bone Scan/CT Negative 8/18/10 - Da Vinci Prostatectomy. Post Op: Gleason 7 (3+4) Negative surgical margins & lymph nodes. Both nerve bundles spared. No incontinence; ED a problem. 2/13 PSA 0.01 2/16 PSA 0.04

NKinney
Veteran Member


Date Joined Oct 2013
Total Posts : 678
   Posted 9/14/2017 6:31 AM (GMT -7)   
Thanks for the replies. It's always good to get a clean bill of health. I didn't previously mentioned it, but everything else was good too, in addition to PSA. In fact, PSA was not the first think I looked for when I got my bloodwork myQuest report with online results. I'm one of the cases, like many of you, who got cured of PC when cure was probably not really needed...so my potential medical concerns lay elsewhere.




Last year, ChrisR posted THIS link to an article about when it might be appropriate to STOP ongoing monitoring of PSA.

The article's title is, "PSA monitoring after prostate cancer surgery: how long is long enough?"

The summary is right there in the opening sentence, which reads:
    [The] paper ... suggests that annual PSA testing “may be safely discontinued after 10 years for men with a prostatectomy Gleason score 6 or less...”


I'm Gleason 6, with 10 years on the near-term horizon...something for me to ponder...

Who else is coming up on 10 years and fits the same category...? What are you going to do?

Post Edited (NKinney) : 9/14/2017 9:18:51 AM (GMT-6)


BillyBob@388
Veteran Member


Date Joined Mar 2014
Total Posts : 2580
   Posted 9/14/2017 6:55 PM (GMT -7)   
NKinney said...
Thanks for the replies. It's always good to get a clean bill of health. I didn't previously mentioned it, but everything else was good too, in addition to PSA. In fact, PSA was not the first think I looked for when I got my bloodwork myQuest report with online results. I'm one of the cases, like many of you, who got cured of PC when cure was probably not really needed...so my potential medical concerns lay elsewhere.




Last year, ChrisR posted THIS link to an article about when it might be appropriate to STOP ongoing monitoring of PSA.

The article's title is, "PSA monitoring after prostate cancer surgery: how long is long enough?"

The summary is right there in the opening sentence, which reads:
    [The] paper ... suggests that annual PSA testing “may be safely discontinued after 10 years for men with a prostatectomy Gleason score 6 or less...”


I'm Gleason 6, with 10 years on the near-term horizon...something for me to ponder...

Who else is coming up on 10 years and fits the same category...? What are you going to do?


Guess it's going to be 30 years for me then! smilewinkgrin Good for you, Brother!
PSA 10.9 ~112013
Bx on 112013 at age ~65yrs, with 5 of 12 pos with one G9(5+4), 1 PNI, T2B.
RALP with lymph nodes at Vanderbilt 021914. (nodes clear, SV+, G9 down graded to 4+5, cut wide, but 1 tiny foci right at the edge of margin ) Pros. 106.7 gms!
At 15 months, not wearing a pad most days, mostly dry
PSA <.01 on 6/14 and all until 9/15 = .01, still .01 9/16, .02 on 3/17,6/17
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