Posted 1/4/2007 7:10 PM (GMT -6)
This is your old friend from your hometown that just found out about how you've been, and this website, and the one from our high school. Thank you for telling me about this one. The folks here are so friendly and supportive. As I told you in the email I sent after I found you, I got the diagnosis in June at age 56, and had the daVinci at the end of August '06. I had a few complications after the surgery, but none really directly related to the procedure itself.
Biopsy diagnosis was T1c, 4 of 12 samples with cancer cells - one with a big clump, cancer found on only the right side, no neurovascular bundle invasion, PSA of 4.4, the worst Gleason was 4+3=7, and the free PSA was only 8%. After surgery, the final path report showed cancer on both sides - T2c, the max Gleason still 4+3=7, all margins negative, right neurovascular bundle involved so plastic surgery was done on the nerve after he had to cut into it, and no lymph node or seminal vesicle involvement. Got the first post op PSA done the first week of November about the same time you were having your operation, and it was reported as less than 0.008. So thank the Lord for early detection! I have had some burning and aching feelings in the area between the rectum and up front, and went back to see my doc this am. He thought he was going to 'scope me to see if there was something in the bladder causing that, but after reviewing the symptoms, he decided it was probably the sensations of the nerve regrowing, so I dodged that bullet today.
Because of the complications, I had to have the catheter for a month, but the only day I every gushed was the day it came out, and since then, only a few drops when I stand up. So, in that reqard, I have also been lucky. Today, my doc told me to stop the pads, because he said sometimes people get conditioned to needing them or thinking that they need them, and told me I might be surprised if I stopped and nothing happens. I think I'm going to graduate to panty liners first, because I've been back to a full work schedule for several months now, and don't want to look like a jerk if a bigger leak occurs.
Because of the one nerve being cut into, I don't expect any kind of real erection for another few months (now 4 since the surgery). My rehab consists of the pump for 5 min every day, one-quarter of a Viagra every day for your basic blood flow, and a full Viagra once a week as a trial balloon, and one other time a week using the MUSE as a test, as well. Cialis didn't seem to do anything yet, and I haven't tried the Levitra yet. My doc likes to start with the MUSE before the shots, because this is less invasive. For you all who may not know, this is the little "suppository," about the size of half a grain of rice that you insert into the penis opening and then about half-way up with its special little applicator. It has one of the same medicines as the shot, but it is absorbed through the lining of the urethra. It burns a little, at first, but isn't terrible. For me so far, it hasn't done anything noticeable, but it is supposed to increase blood flow, also. Today, he upped the dose, and told me sometimes you have to use it regularly to get the full effect, so maybe something will develop.
This is such a weird disease, where you can go online and give "Too Much Information," but sharing helps and you get advice, and may give some, as well. The existential perspective of getting a new lease on life aside, the only thing I can say good about what's happened is that the orgasms, for me, even without an erection, are fantastic, better than I ever experienced before. They just go on and on. A female friend said try not to stress about not having "productive" orgasms, because 50% of the world doesn't have them and they do all right.
All the best to all of us in 2007, and let this indeed be a cancer-free year. And let's all keep getting the word out for our male cronies who still have prostates to get their PSAs checked regularly so they can dodge the bullet that we did.