I got my catheder removed today and got my post surgical report. My report was not what I expected. With only one of 10 cores positive on my needle biopsy - one on the left side - I didn't expect to find out that I had a positive margin on the right side with some capsular penetration. I don't have a copy of the report in my hand, which I need to get, but needless to say, I was a bit floored. My doctor said that I need to wait until the PSA test, and we'll talk more then around the first week in March, which I can understand. What I need to do now is heal from this surgery, and decisions about
the need for possible more treatments will wait until the test results are in.
I had assumed that I was being very aggresive by going with the surgery, and my only second thoughts were if I was being too agressive. However, with these results, I'm glad I had the surgery. As my doctor said, the best thing is that my prostate is in a jar of formaldehide now, and not in my body. While I respect everyone who chooses other treatment options, I can't imagine what could have happened if I had chosen "watchful waiting" or perhaps Brachytherapy. Now I know the real extent of my cancer, and will have to deal with it. While I'm not happy about it, at least I know I may need more treatment. I have to be optimistic that my PSA will be next to nothing, so all I'll just have to do is keep an eye on it for a long time, instead of proceeding on with another route.
I appreciate others who have had similar experiences, but please no horror stories now. This is still sinking in.
PSA 4.7 (up from 3.2 one year ago)
Biopsy November 8, 2006
1 of 10 cores positive 5%
2 others questionable (small gland proliferation)
Robotic surgery scheduled January 19, 2007