Hi, I'm 41 and will be 42 this month. Just diagnosed with PCa. Feeling so low.
Am most worried if I do surgery scheduled Sept. 12 (DaVinci) that I will have incontinence. I guess impotence is a terrible by-product of all this as well. I have almost lost my libido since my diagnosis.
I'm also considering Loma Linda and Proton Therapy. But I've gotten 100% advise from doctors, friends who are doctors, and from doctors's friends who are doctors to have the surgery. It feels like I'm flying in the face of reason to do other than have the surgery.
But I go to sleep and wake up wondering how my life will be post surgery. My wife is supportive and I know will be there for me. She is the most youthful 51 year old woman I have ever known.
I don't think anyone can provide the right answer, but ones self. It's just such a darn hard decision to make. I wish my scores were better since I'm so young, but I wish more I am able to beat this thing since they are what they are.
It's hard to find data for younger guys.
2/12 biopsies positive.
Prostate Right Base gleason grade 3+3=6 or 3+4=7, depending on which pathology report you believe. 4mm tumor @ 25%. Perineural invasion present.
Prostate Left Apex (apparently a weak area of the prostate) gleason grade 3+4=7. 6mm tumor @ 30%.
Gleason scores from 4 pathologies of the same biopsy with 2 of 12 cores positive for cancer (if this isn't confusing to the patient...):
1) both cores 3+4 (Weiss Memorial)
2) one 3+4 and one 3+3 (Univ. of Chicago Hosp.)
3) both cores 3+3 (Mass General Hosp.)
4) both cores 3+4 (Northwestern Memorial Hosp.)
9/17/07 - Radical Retropubic Prostatectomy Surgery at Northwestern Memorial in Chicago by Dr. William Catalona.
and the winner is...post op Gleason score of 3+4.
Good pathology report with negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g. Amazing how something so small can cause such problems!
9/27/07 - Catheter removal...let the games begin...
Post Edited (41diagnosed) : 10/16/2007 10:21:26 PM (GMT-6)