Just my 2 cents. I am about
8 years younger than you and, admittedly out of shape, am 5 months out from my daVinci surgery with its quicker healing, but I was still tired and dragged out all the time, until about
a month or two ago. Everybody recovers at their own rate, so it is probable that this is normal for you. Also, at five months, and with the daVinci, I still have aches and pains from the navel (exit for beast) to the bone area between my right thigh and the midline of the crotch. This is about
where I think the pain would be referred to from where my doc did the plastic surgery on my right nerve that couldn't be spared. He told me this could be the sensation of the nerve growing back together (I hope the nerve is growing back together, because another "bone" is depending on it).
As for surgery versus anything else, I, for one and maybe only one, think you made the right decision, NOT just the right decision for you. I have a really strong opinion about
this, so I apologize to the proton and seed people, but I made a different decision. I am a worrier and not a gambler. My doc gave me the odds of a 91% chance of nonrecurrence with surgery, but a 75% chance of nonrecurrence with any kind of radiation or the cryo procedure. Sixteen percentage points is not negligible to me.
Also, when I got the final pathology report back, it included a comment on bladder neck tissue. This was not just to show that there was no tumor extension into the bladder; it was to show that he went well into the bladder area and there was no prostate tissue left in my body. This is important because the nature of prostate cancer is such that cancer cells arise all over the gland independently, not only by extension, and maybe not all at the same time. This is why they take out the whole gland and not just the part with the tumor(s) in it. Something biochemical has happened in the body, that has triggered this cancer and it seems to be able to affect the whole gland, maybe microscopically in some areas. Therefore, I believe it is crucial to get every last prostate cell out of the body, even possibly normal ones like nearest the bladder neck, before they turn cancerous. Radiation obviously can't do this, and it doesn't matter to me what the stats comparing radiation or proton beam with surgery say. Count me in the camp of what Swimom says are men who want the cancer out.
Therefore, fatigue and all, pains and all, I think WE did right.
All the best. Keep us posted on your recovery.
PSA (10/04): 2.9; PSA (2/06):4.4, on Androgel (serum T about 450) at age 56; negative DRE, no symptoms.
PSA (5/06):5.7 with a free PSA% of 8, OFF Androgel (serum T 163).
Biopsy (5/06): 4/12 samples positive; postitive samples only on right side; max Gleason 4+3=7 (in 2 of the 4 -from area nearest bladder.
DaVinci robotic-assisted laparoscopic radical prostatectomy + bladder lift + Right nerve plastic surgery (8/23/06).
Catheter out 4 weeks postop, due to internal pinhole leak at bladder-urethra junction.
Final pathology report:T2c-both sides,but in capsule; neg. margins, neg. lymph nodes, neg. seminal vesicles; final max Gleason still 4+3=7.
Follow-up PSA (11/06): <0.008; serum T: 195 OFF Androgel (at present).