biopsy/surgery

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mgl
Regular Member


Date Joined Feb 2007
Total Posts : 122
   Posted 2/13/2007 3:09 PM (GMT -7)   
What is the average time between the biopsy and surgery
thank you

pcdave
Regular Member


Date Joined Oct 2006
Total Posts : 444
   Posted 2/13/2007 3:26 PM (GMT -7)   
mgl

it depends on how busy your surgeon is. it can take up to three months to book some of the top surgeons. if you are in an earlier stage of PC, there is less of a rush. it is generally recommended that most patients seek some form of treatment within 3 to 6 months after biopsy, depending on their stage of PC.

Dave
68, Biopsy 9/27/06, Stage T1c, PSA 7.1, Gleason 6 [less than 5% in two areas], Gleason 7 (3+4) [less than 20% in third area], negative DRE, bone scan and MRI. Starting proton radiation therapy 2/22/07.

Post Edited (pcdave) : 2/13/2007 3:31:55 PM (GMT-7)


mgl
Regular Member


Date Joined Feb 2007
Total Posts : 122
   Posted 2/13/2007 3:30 PM (GMT -7)   
thank you for the info

biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 2/13/2007 4:27 PM (GMT -7)   
Hi mgl,

I had a biopsy that showed cancer on October 30, got the diagnosis on Noverber 3 and had surgery on December 7.

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 2/13/2007 5:24 PM (GMT -7)   

Hi~ mgl,

 

We had the exact same question before our consultation.  And on the way to the office we stop by the book store because I wanted the answer before going into see the urologist.  He had recommended this book.  And we are very grateful that he did.  No matter what treatment you choose…. This book has a lot of information.

 

And felt exactly as Dr. Walsh states below.  “We want it out immediately”.

 

Knowing why ~ we had to wait…. really made the waiting easier… Knowing that the longer we waited the more healing that was taking place. 

 

Hope this helps!!

Lee & Buddy

 

Excerpt from:  Dr. Patrick Walsh’s Guide to Surviving Prostate Cancer

Patrick C. Walsh, M.D. , Professor of Urology, The Johns Hopkins medical Institutions

and Janet Farrar Worthington

 

              Questions You May Have before Surgery

 

Why do I have to wait several weeks for the operation? 

 

There should always be a delay of about 6 to 8 weeks between the time a man’s prostate cancer is diagnosed and the time he can undergo surgery.  Many men are frustrated by this.  They think, “I’ve got cancer, it’s curable, I want it out of there right now!”  They see the delay as an operating room equivalent of an overbooked airport, with planes stacked up waiting to land, and interminable layovers.  But this is not the case.  The main reason for the six- to eight week lag time between diagnosis and surgery is not to accommodate a busy hospital’s schedule: it’s so you can have a better cancer operation.

 

Immediately after the needle biopsy, which often involves a dozen punctures of the rectum, your body reacts—as it does to any injury—with inflammation and bleeding.  Now is not the ideal time for surgery.  A biopsy is what doctors call an “insult” to the body, in this case, to the wall of the rectum, which is riddled with tiny holes, and weakened (think of how much easier it is to tear perforated paper than regular, intact paper).  The body needs time to recover from this relatively minor insult, so it will be ready for the really big one—major surgery.  Even after two weeks, the punctures may have healed, but the prostate is now adherent to the rectum; it remains stuck to the rectum until the inflammation resolves.  If surgery were attempted at this point, it would not be easy to release the rectum from the prostate—and the last thing the surgeon wants to do is make a hole in the rectum. In an attempt to protect the rectum, the surgeon may cut too close to the prostate, possibly leaving cancer cells behind.  But give it a few more weeks, the inflammation heals, and the prostate is no longer “sticky.”  The normal anatomy is restored, and it’s easier for the surgeon to see the terrain.

 

Excerpts from Our Journey ~ Sharing is Caring

 

Dr. Walsh’s Guide to Surviving Prostate Cancer…(Give Yourself a Second Opinion), is truly a book of knowledge… teaching you about this disease… that affects the whole family!

 

It is not a book to make you scared ~ but to make you think, to make you understand, and to make you knowledgeable about this terrible cancer….. It doesn’t hold back….

 

But remember…being scared is part of this whole picture at the beginning anyway… so take in the information that is offered from its contents. 

 

We are not promoting this treatment.... that is definitely a personal choice.  This book has information that "all of us" can use no matter what treatment you decide on. 

 

Read only areas that you are comfortable reading at first.  Gradually you will likely read it all…  I did not read Chapter 12 until after our surgery and after we had a few weeks under our belt.  Then I skimmed through the pages… and it made me really appreciate what we have just gone through….. and give thanks each day for having found this cancer early.

 

There are excellent postings in reference to this book below… read them all!!!  Remember ~ we all react differently and the forum is a wonderful place to express your own feelings about certain things.  Knowledge is Power… and we gain Knowledge by reading, reading, and more reading.  There’s a Thread started by another member…titled “Dr. Patrick Walsh’s Guide to Surviving Prostate Cancer”… it has some excellent postings also…

 

There are other books that have been recommended and I will add them to the Helpful Hints page soon.


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

2nd PSA 02-06-2007 Less than 0.1 Non-Detectable :)

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