Just finished biopsy

I just got back from my biopsy. Much more discomfort than the first one. This dr. Didn’t use any drugs. He did say he was shooting anesthesia into the prostate.

The first one didn’t knock my all the way out, but in the words of Pink Floyd I was comfortably numb.

He did the standard grid samples. Sent me home. He said I should hear from him toward the end of the week. I asked them to send to Epstein for a 2nd opinion, though I presume the guys at Vanderbilt are probably pretty good at it too.

The waiting game starts with me in my recliner winching every 30 seconds or so. I took 4 Tylenol when we got to a gas station. I think I may have a hydraco left from something earlier this year. May have to hit that tonight, but I think this will probably settle down by then.

Have a good night everyone!

Larry

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Age 53
PSA 2.7 (8/2017), 4.17 (8/18), 4,7 (10/18), 5.5 (11/27/18),4.77 (4/23/19), 5.9(7/30/19), 4.89 (8/27/19)
BX scheduled for 10/26/18
Dx 11/1/18, G6 3+3 2 of 12 samples
5%
35 cc

Good luck Larry. Let’s hope AS continues to be a good solution for you for a long long time.

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I am not a doctor, just another guy without a prostate
Dx Age 64 Nov 2014, PSA 4.3
BX 3 of 12 cores positive original pathology G6
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology G7 (3+4), - ECE, - Margins, -LN, -SV (+ frozen section apex converted to negative)
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033 November .046, March 2018 .060. June 2018 .068, July 2018 - .082, August 2018, .078, August 2018 - .08 Start ADT. Sept 2018 Start SRT
Sept 2018 thru November 2018 – T = 4, PSA = <.05
Decipher test, low risk, .37 score
My story.... tinyurl.com/qgyu3xq

Wishing you a speedy recovery and a rosy result, Larry.

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Age 60 at dx 7/2017 biopsy G8 (4+4), 5/13 cores
RARP 8/2017 (Patel), pT3a N0 M0, 30% tumor; EPE+, SV-
PSA 1/2016, 2.9; 4/2017, 7.2; 9/2017 (post-RARP), 0.13; 10/2017, <0.05, 1/9/2018, 0.09, 2/23/2018, 0.08.
SRT 72Gy, 40 fractions, finished 5/8/2018, plus 12 months ADT, finished 2/2019
May 2019 uPSA <0.02, Aug 2019 PSA <0.13
Caution: I’m not an MD and don’t know what I’m talking about.

Larry...First I hope your biopsy results contain no surprises. Second I noticed your PSA results are a little jumpy. All of my PSA blood tests were taken by the same local draw site and all were reported by our local hospital. I assumed they were all tested at the lab of our local hospital. My results were also a little scattered and upon investigation I found that two labs were involved. When I questioned why two labs; I was told that our hospital lab could not run ‘free PSA’ so those were sent to Quest. They also said that due to the workload at the hospital lab they sometimes sent samples out to Quest in order to get them completed in a timely fashion. Turns out that the two labs use different standards and there is a known bias. Just a heads up for those that track PSA closely.

Post Edited (Terry's Cellar) : 9/24/2019 7:20:34 PM (GMT-6)

Well, Two days out and I fell much better. I worked three hours yesterday just because I had to get stuff done. I took the whole day off with comp time so when someone saw me at the office I told them I was not here.

It was not a guided biopsy. They did a MRI back in April and nothing showed up for them to look at. That is a great thing. They had the guided scheduled for May but cancelled after the MRI.

I have used the same dr. and lab for the PSA except the 5.5. That was at my first Urologist office. I use my regular Dr. for the tests. The 5.9 we believe was due to me going to the gym right before the test. I didn't use a bike, but did 4 miles on the elliptical and did some weights. I thought no bike no problem. I restrained from the gym for 3 days before the most recent test.

I should have results by the end of the week.

It seems like I have a little more blood in my urine, but my memory may be fuzzy after 9 or 10 months. It still doesn't look like tomato soup so no issues. They said call them if it does that.

On a funny note, the nurse said strip from the waist down and sit on the table. There was a blanket on the table but I didn't know when it would be used. She walked back in the room and looked and said "you are not shy are you?". I said I did exactly what I was told to do. She didn't mention using the blanket. My wife was there and I asked her for verification. We all got a good laugh about that one.

Thanks for all the well wishes!

Well, the results are in. I am almost ecstatic. Only one of the 12 cores returned with cancer. It was 3+3 and from the same area that they already knew something was there. The other 5 quadrants came back clear again. Dr. Smith said no more biopsies for 18 months unless something goes screwy with the PSA scores. Now I can relax again for another 4 months and 3 weeks until the next PSA test.

They had the Maggie Moos ice cream truck at work today. Even though I am trying to become the best me possible (down 47 pounds since Christmas), I thought this was a good time to celebrate. Cool Mint with M+M's for me!

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Age 53
PSA 2.7 (8/2017), 4.17 (8/18), 4,7 (10/18), 5.5 (11/27/18),4.77 (4/23/19), 5.9(7/30/19), 4.89 (8/27/19)
BX scheduled for 10/26/18
Dx 11/1/18, G6 3+3 2 of 12 samples
5%
35 cc

Holy cow GH. Is there anything left after 93 cores? Seems like the problem should be gone by then.

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Age 53
PSA 2.7 (8/2017), 4.17 (8/18), 4,7 (10/18), 5.5 (11/27/18),4.77 (4/23/19), 5.9(7/30/19), 4.89 (8/27/19)
BX scheduled for 10/26/18
Dx 11/1/18, G6 3+3 2 of 12 samples
5%
35 cc

Great news!

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Part I
2015 (Age 54) PSA: 20.8
Bx: All cores G7 (4+3)
RALP & Adjuvant RT
Pathology: G8 (4+4)+5
PSA nadir: 0.1, steady increase until 2019: 64.13

Part II
2019, March: Lupron/Xtandi, PSA: 1 month: 0.126; 3 months: 0.036; 6 months: <0.02

Good news is good.

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I'll be in the shop.
Age 59, 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, .3 10/17 .3 4/18, .4 11/18
G 3+4
Stage T1C
2 out of 14 cores positive
Treatment IGRT - 2/2012

Great news, bbq. Very happy for you!

Jim

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Forum Moderator-Prostate Cancer. Age 62 (71 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Everything continues to function normally. PSA: 6 mo: 1.4, 1 yr: 1.0, 2 yr: .8, 3 yr: .5, 4/5 yr: .2, 6-10 yr: 1. My docs are "delighted"! My journey:
https://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1

Add some chocolate chips that mint ice cream and you’ll be good to go.

Great news, BBQD. Hope for many more reports like this one.

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Age 65

10/2018: TRUS biopsy, 2 of 12 cores G6
12/2018: MRI:1.5cm mass; PI-RADS 5 Uro recos treatment
1/4/19: Guided biopsy, 1 of 6 cores G6; Dr. Epstein concurs
3/26/19: Dr. Duke Bahn recs AS
4 and 6/2019: two new uros rec AS
6 and 7/2019: 2 more uros rec AS. MRI re-read by top hosp radiologist: no PI-RADs
assigned.
8/23/19: MRI re-read, no PI-RADs

PSA
8/2/18: 1.2
3/26/19: 1.8
6/14/19: 2.2