Living with Hope

At stage T2A, what procedure, knowing there is a risk of the cancer moving to other organs, would you do?
6
Radical Prostatectomy - 85.7%
1
Interstitial Brachytheropy - 14.3%

 
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macsoccer1
New Member


Date Joined Jan 2007
Total Posts : 3
   Posted 2/4/2007 2:06 PM (GMT -7)   
February 4, 2007
 
Hello to all.......
 
This is my very first time of writing on this website.  I have found it to be very informative so far.
 
I was diagnosed as having prostate cancer two weeks ago.  I am in the process of trying to decide between two plans of action to get this under control.
 
My Gleason score is 3 * 3 and my stage is T2A and my age is 55. 
 
The first plan is for radical prostatectomy for which I understand involves a four day hospital stay, not driving for four weeks and being off work for quite some time.
 
The second plan of action is for interstitial brachytherapy but I can not find out much information on this.
 
I have read lots of books and have checked out quite a few websites, however, there is just not much info stating short term and long term side effects.  I do know it is done as an outpatient but I do not have much information other than that.
 
So, those of you that are in the know, please write me back and give me the pros and cons.
 
Thank you.......Santa Soccer Mac
 
 

Santa Soccer Mac


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 2/4/2007 2:28 PM (GMT -7)   
Hello Mac,

Sorry you have to be here but this is a great for support and information.

Several of us have had "open" surgeries and other have had the robotic surgeries. I chose "open" because I wanted the doc to get up close and personal with my problem without going through any intervening technology. That way he could apply all his experience and skill directly to my problem. My wife and I were very comfortable with my doctor. He was open and honest about my prognosis, answered all our questions without talking down to us and explained all our options without downplaying any of them. It worked very well!

I didn't lose enough blood to require a transfusion. I was in the hospital for less that 2 days, had very little pain, had the catheter out after 6 days and could hold my pee as soon as the catheter was removed. I went back to work teaching math part-time in less than 4 weeks. This has been my experience and I'm sure that others will share theirs.

Once you make your decision on a treatment option, don't look back. On the day my wife and I decided on RRP all the fear and doubt vanished. We concentrated on building and maintaining a positive attitude. That is all we can take with us into the OR.

Good luck and all our prayers and hopes are with you...

Jim
Age 72. Diagnosed 11/03/06. PSA 7.05. Stage T2B Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2B. Gleason 3+4. Cancer confined to prostate.
PSA on 1/3/07 - 0.04.  Next PSA on 4/4/07.
 
 "Patience is a virtue - especially when dealing with the effects of PCa."


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 2/4/2007 2:28 PM (GMT -7)   

Santa Soccer Mac  &  Family,

  

                     A   “Special”  Warm Welcome  to  You!

 

I know we can “all” make Your Journey smoother just by being here for you! 

This is truly a great forum!!! ~ You have joined! You are now part our forum family ~ a group of wonderful individuals who are so willing to share their journey with you! 

 

It helps “all of us” ~ to help you ~ if we know where you are on your path.

So ~ Please stay with us and take our hand when you need it!  Keep posting.... OKAY!!

 

KNOWLEDGE IS POWER... and POWER conquers fear

YOU MAKE THE DECISIONS… YOU HAVE OPTIONS…

~ and ~

Your decision will be the right decision for you!!!

 

We invite you to visit our personal thread listed in our Signature below…

This will let you know why we responded with a vote for Radical Prostatectomy.

 

Our thoughts and prayers will be with you as you continue your search for answers…

 

In Friendship ~ Lee & Buddy

 

“God Bless You”

 

It's a little prayer  ~  "God Bless You"

...but it means so much each day,

It means may angels guard you

and guide you on your way.

 

 

(Direct Link ~ just click on the title below and a new window will open!  

Reminder … click on the REFRESH icon once you get there)

Helpful Hints for New Members... Hope this helps you! :) Updated 02-05-2007


mama bluebird - Lee & Buddy… from North Carolina

Link to our personal journey…>>>     Our Journey ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy with "wide excision"

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

June 29th ~ PSA Less than 0.1 Non-detectable

Post Edited (bluebird) : 2/6/2007 11:39:31 AM (GMT-7)


spinbiscuit
Veteran Member


Date Joined Apr 2006
Total Posts : 818
   Posted 2/4/2007 2:38 PM (GMT -7)   
Welcome macsoccer1,

Have you considered the daVinci procedure? It reqiures only a day or two in the hospital, recovery time is less than half of what you mentioned, and will likely not involve a blood transfussion. In my opinion the daVinci procedure will soon become the gold standard for Prostate Surgeries to echo the opinon of another member of our group. Others will also offer their sage advice shortly. I wish you the best of luck on your search.

Glen
Diagnosed at age 60
PSA went from 2.2 to 3.8 in 14 months
2 of 14 cores positive at 10%
Gleason 6(3+3), negative DRE, neg. boundaries
DaVinci surgery on 02/23/06
 


lawink
Veteran Member


Date Joined Oct 2006
Total Posts : 621
   Posted 2/4/2007 2:54 PM (GMT -7)   
Hi there and welcome!

At your "tender age" of 55, I'd be in favor of either open surgery or the da Vinci to get the cancer out; get a pathology report and get on with life which in this day and age should then be extended by 25 or more years.

Good luck and keep us posted as to your decision and date of procedure.

;o) Linda & Bob
Bob (60) had laproscopic prostate surgery on Sept 27, 2006 - 2/12 malignant biopsy samples - gleason 3 + 3 = 6.  Follow up PSA results and pathology results received Nov 14th are NO MORE CANCER!  Gleason changed to a 3 + 4; cancer completely confined to prostate; (even a second more agressive, previously undetected cancer)      PSA UNDETECTABLE.   Next PSA check Feb 27, 2007.
 
Bob also takes Hydroxyurea to control Polycythemia (elevated red & white cells & platelets) has secondary condition . . Myelofibrosis) -- If anyone has experience or knowledge of these, please post us.


naimnut
Regular Member


Date Joined Jan 2007
Total Posts : 93
   Posted 2/4/2007 4:05 PM (GMT -7)   

Soccer Mac,

Here is another vote for da vinci. You don't mention where you are, geographically, so that could be a factor.

Markus


Age, 53
PSA 3.76, Gleason 6, T1c, scans negative
psa doubling time 35 months
Still researching and deciding treatment options.  Leaning towards da vinci robotic.


macsoccer1
New Member


Date Joined Jan 2007
Total Posts : 3
   Posted 2/4/2007 6:51 PM (GMT -7)   
THANK YOU FOR ALL YOUR INPUT ...BUT THE DA VINCI  WAS NOT EVEN TOLD TO ME. WELL IT IS TIME FOR ME TO DO SOME MORE HOMEWORK. I LIVE IN OHIO BETWEEN CLEVELAND AND COLUMBUS..
    HAVE A BLESSED DAY. 
     SOCCER MAC
Santa Soccer Mac


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 2/4/2007 8:51 PM (GMT -7)   
macsoccer1,

Welcome to the forum. The majority of us here have gone the surgery route so you may get limited info on Brachytherapy here. If you have not been there go to www.yananow.net and when you enter the site go to Mentor Experiences. Scroll down and you will find the stories of men that have elected treatment for PC. These are listed by type of treatment and there are several that have gone the Brachytherapy road. As to surgery, I was told not to drive for two weeks. I was in the hospital for a total of 30 hours, not days. I was up and walking 6 hours after getting to my room from recovery. I had no pain and never took any pain medication. On the second day after surgery I walked half a mile. The next day it was a mile but that was too much and I was exhausted. While the Da Vinci has many benefits the one thing you have to watch out for is that you feel well enough to do things but you still had major surgery and while on the outside it does not appear that way on the inside there are a lot of things going on in the healing process. Do your research and educate yourself. Get second, third or more opinions on a specific method of treatment. Once you decide on a course of treatment get a provider of that treatment that you have total confidence in. The key for you is to know that the cancer you have is curable.

Tamu
Diagnosed 7/6/06
1 of 10 core samples, 40%
Stage T1c, Gleason 3+3
Da Vinci on 11/01/06
Catheter out on 11/13/06
56 Years Old
Post Op Path
Gleason 3+3
Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 2/4/2007 9:47 PM (GMT -7)   
Hi Mac Soccer-- I suggest that you purchase Dr. Peter Scradino's Prostate Book.   Dr. Scardino is a renowned prostate surgeon from Memorial Sloan Kettering.  his book is very informative and discusses all the options out there,.  I found it very helpful and encouraging when I was going through the acrobatics of deciding how I wanted to treat my PC.
Best of luck in your decision.

54 years old

PSA = First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06 (6 out of 8 cores positive), both lobes, Gleason 3+3 = 6

Da Vinci Robotic RP surgery, Jan 12, 2007

Post surgery pathology – organ confined, Gleason still 6, margins clear.


snowman
New Member


Date Joined Feb 2007
Total Posts : 4
   Posted 2/4/2007 10:00 PM (GMT -7)   
Check out Dr. Patel at the Ohio State University James Cancer Center in Columbus.

bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 2/5/2007 1:18 PM (GMT -7)   

Hi~ Santa Soccer Mac,

 

Check this Thread out......  very good information!

 

 

(direct link ~ just click on the title!  Reminder to click on the REFRESH icon once there)

 

JustJulie's Brachytherapy Journey


mama bluebird - Lee & Buddy… from North Carolina

Link to our personal journey…>>>     Our Journey ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy with "wide excision"

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

June 29th ~ PSA Less than 0.1 Non-detectable


M. Kat
Veteran Member


Date Joined Jul 2006
Total Posts : 715
   Posted 2/6/2007 8:14 AM (GMT -7)   
Soccer Mac, now I'm throwing in another option - proton therapy. http://www.protonbob.com/proton-treatment-homepage.asp. Jeff chose to have radical (open) surgery because he wanted the prostate out of there and his doctor had it a few years ago. he was very comfortable with his doctor and the hospital was only an hour away. he was out of the hospital 36 hours after surgery and returned to work 12 days later. he also did not need to take pain medication. take your time and remember that this is the hardest part - making your decision. God bless, kat
Husband Jeff 56 years old diagnosed July 27, 2006
PSA 6.5, 2 positive areas in biopsy, Gleason 3+3=6
Radical Retropubic Prostatectomy August 30, 2006
pathology report - all clear - cancer gone
1st post-surgery PSA test 0.1, 2nd post-surgery PSA test 0.1
no more pads Oct 12, 2006
first "real" erection with use of pump 12/16/06


macsoccer1
New Member


Date Joined Jan 2007
Total Posts : 3
   Posted 2/6/2007 7:51 PM (GMT -7)   
WE WENT TO THE SURGEON TODAY AND FOUND OUT MY PSA WAS A 5.2 BACK IN OCTOBER BUT THAT THE CANCER HAS PROGRESSED. THIS SURGEON DOES THE SEED IMPLANTS BUT WOULD NOT EVEN TALK about THE IMPLANTS AND WE THINK HE FEELS THAT WE NEED TO TAKE A MORE ACTIVE APPROACH. HE MENTIONED DR. PATEL IN COLUMBUS WITH THE DA VINCI SYSTEM OR HAVING THE TOTAL PROSTATE REMOVED SURGICALLY IN THE STANDARD WAY. SO THEY ARE IN THE PROCESS OF GETTING ME AN APPOINTMENT IN THE NEAR FUTURE WITH DR. PATEL.

THE BOOK BY DR. WALSH DOES NOT MENTION THIS DA VINCI SYSTEM AT ALL..........IS THAT BECAUSE THE PROCEDURE IS TOO NEW? ARE THERE ANY BOOKS OUT THERE ON JUST THE DA VINCI PROCEDURE?

THE DOCTOR SAID TODAY THAT IF I AM NOT HAVING ERECTION RESPONSES BEFORE SURGERY THAT I WILL NOT HAVE ANY ERECTION RESPONSES AFTER SURGERY. IS THIS TRUE?

IS IS NORMAL TO HAVE SO MANY MOOD SWINGS RIGHT NOW?

IT IS A VERY CONFUSING TIME FOR ME RIGHT NOW AND I WOULD APPRECIATE ANY INPUT THAT YOU MAY HAVE! THANKS!

SOCCER SANTA MAC
Santa Soccer Mac

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