Some tissue left after RP

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AndrewJ
Regular Member


Date Joined Jul 2007
Total Posts : 25
   Posted 10/6/2007 12:12 AM (GMT -7)   
I had my second post-op check up last week (PSA < 0.01!) and, just when I thought that one advantage of an RP is that I would never have to be on the pointy end of that particular piece of equiment again, my specialist did a rectal ultrasound. He showed me some shadows on the screen and said they were tissue remnants of the prostate which were left after surgery He also said there were some remnants of the seminal vesicles.

I had asked my surgeon to err on the side of leaving what he could leave (in terms of maximising nerve sparing) if he had the chance, so it could be that he followed my request too closely.

My specialist told me this increases the chance of recurrence a little but not to lose any sleep, we just have to be more careful monitoring PSA and react quickly if something does show up. He has requested my detailed surgery report to see exactly what was done and why in the operation. Since I had no positive margins, I can almost convince myself there is nothing to worry about.

Is this common? Is there a reason for concern? I've tried searching online for information, but haven't found anything specific.
45 years old, Australian living in Germany
PSA: started around 3.5 in 2005, 6.1 at time of surgery
Biopsy: nothing found in 2006, 3 May 2007 3 of 24 cores positive, Gleason 3+3 or 3+4 depending on pathologist
RPE in Munich, Germany on 22 June 2007
Post surgery pathology: organ confined but less than 1mm from margins, Gleason 3+3, pT2c, Lymph nodes removed and clear
First post-surgery PSA 31 July 2007: 0.01 Confirmed on 24 September, 2007. Yippee!
Fully continent immediately after removal of catheter on Day 8. Double yippee!!
No potency issues & looking at discontinuing daily small doses of Levitra. (Still holding onto it as my security blanket.) Triple yippee!
This man knows he has been VERY lucky.


aus
Regular Member


Date Joined Sep 2006
Total Posts : 211
   Posted 10/6/2007 5:21 AM (GMT -7)   
Main aim of a good surgeon is a positove outcome and he would not compromise that by trying to spare nerves if it was not logical to do so. In that context, I do not think shadows on a rectal ultrasound should be cause for concern.

bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 10/6/2007 7:46 AM (GMT -7)   

  tongue    tongue   Yippeeeee!!  Andrew J, ~

 

2nd      PSA…   !!!~~~>>>  Woo~Hoo <<<~~~!!!  undetectable

 

Cause  for   celebration!!!!!  Definitely!!!

What a wonderful day it is ~ each and every-day….   

Enjoy it to the fullest. 

Yippeeeee!!!!!! From  Lee & Buddy

*     *     *     *     *     *

The ultimate “goal”… we all strive for… Thank you for sharing ~ that your goal has been met….

It is very important to “all ”of us!  This is a way of positive feedback…

A way of showing others Hope… and a way of Sharing.

 

J  Caring is Sharing ~  Thank You for Sharing  J

 

 

Threads started by: AndrewJ

Some interesting differences in treatment in Germany and the US

 

Hey ~ Andrew,

 

Grab hold of the all the positives you have going for you at this time.  Get well mentally and physically.  Monitoring PSA’s is something we will all need to do from now on.  This is where many men see 3 or 4 “Goose Eggs” and then they slack off.  This is when trouble sets in… so ~ Yes… monitoring is a definite.  But for now ~ continue on with your great recovery.  And continue to stay close…  Continue reading and learning… because

 

Knowledge is Power.... and Power takes away the fear!!!

 

In Friendship ~ Lee & Buddy

 

Here’s a little something that may or may not help you but thought I’d go ahead and add it.  A friend/member asked why I hadn’t told her this before they had surgery.. so ~ I added it to “Our Journey”… because this is truly how we feel and felt.

 

   Worry??????  Why??? 

   Worry causes stress ~!@#$%^&*()_+@#$%^&*

   Stress causes all sorts of bad stuff…

   It gets you nowhere…

   It drains you of strength… and

   What’s going to happen is definitely going to happen whether you

        worry or you don’t worry…  

   So ~ No More Worrying.  Okay  J


mama bluebird - Lee & Buddy… from North Carolina

 

v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

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

3rd PSA 08-07-2007 Less than 0.1 Non-Detectable :)

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