First try googling it as it appears in the thread title: SpaceOAR. You will be happier. Only one space in the name, yet no space. Very Zen. Everything will gel for you....
A dad or brother with PCa (and at an earlier rather than later age) would be more concerning as far as family history. The problem with BPH and other conditions that can increase PSA is that they...
Hi jd. Can you provide your age, any immediate family with PCa? BPH? I had a long history of BPH with a fluctuating, but slowly rising, PSA. This led to many negative biopsies; eventually one found...
The funniest story I've read about counterfactuals and the limits of what you can plausibly hold constant and what you can change when hypothesizing was written by Douglas Hofstadter (author of...
Regardless of statistical predictions, some folks have a PSA that just plateaus at some low value. When an official level was being decided on for "official" BCR (which for the AUA was, and still...
And the man who swallowed his glass eye and went to the proctologist, but, too embarrassed, said only that he had a pain "down there". The doc says "OK, hop on the table", inserts the scope, sees...
There are exceptions for high-risk men with adverse path features. Some escape adjuvant treatment after healing, but want, or are advised, to start adjuvant or very early salvage treatment below...
I had to choose between being a bio or a math major and chose bio. However, I later taught myself programming and made it one career. My uni roomate, however, was a math major. I remember three...
My prostate was 90g before my TURP, which reduced it to 30g. By the time of my RP for PCa, it had grown back to 64g. If I had had a crystal ball predicting the cancer, I would have gleefully done a...
As Buddy said, let's hope something in the works now pans out soon and that we have both a vaccine and an effective drug for those infected. Djin...
Thanks for your detailed reply, jm! The important bottom line is that you got treatment! Was the motivation for deciding to treat your G6 a combination of all the factors: your BPH, PSA trend,...
For whatever reason, Labcorp chooses to report down to only 0.006 rather than 0.002 (or 0.003). I've never seen anyone report a Labcorp result lower than <0.006. If you are curious about the accuracy...
The entire entire pandemic response chain of command was fired by the president in 2018 and never replaced. But not to fear: Ken Cuccinelli was just named to head our Corona Virus effort. Djin...
Never had a problem falling asleep, but would wake up after just a few hours, wide awake, raring to go, only to be sleepy again a few hours later. Years ago my internist prescribed 50 mg trazodone...
The flu vaccine has to be prepared well in advance of flu season. My understanding is that it is usually based on part of the prevalent strains of the current (i.e., previous) season plus some...
All studies and trials -- past and present -- emphasize the importance of exercise to mitigate the effects of ADT. Djin...
IMO your is a smart treatment move with a G7 (4+3), a 60% tumor burden, SVI+, a rising PSA, and a high met risk. Best of luck to you! Djin...
Hi jm. If I may digress from the topic, I was intrigued by your PCa history. You were (accurately) a PIRADS 5 on MRI, and your definitive G8 (5+3) score means that pattern 5 was > 50% of your...
Reducing your liquid intake after dinner should help. Djin...
I *may* have an explanation. The Labcorp sample report at you link resides at walkinlab's site, and the copyright date at the bottom is 2015 . The sample reports I linked above are at Labcorp's site...
Did you forget the link? Djin...
I don't know how accurate such generalizations are. The very first thing my uro/surgeon said in the the first of my two post-biopsy visits to discuss treatment was that RP and RT had basically...
(Do check: [i]no lab will report a value as <.015. Did you mean <0.015. or perhaps <0.15 ? Decimal numbers less than 1 are always written a zero before the decimal point to avoid confusion.) Do you...
If you google walkinlab, you'll find one way to get the Labcorp ultrasensitive PSA test (<0.006). Their price is $109. A number of brothers at the defunct Forum used their services with no problem....
The U.S. vaccine, Vaxchora, is not the same as the Swedish Dukoral. I see no published research since that one Swedish study, Association between post-diagnostic use of cholera vaccine and risk of...
Excellent. Please conyinue to keep us updated. Djin...
Excellent! Good to get a yearly reminder of your success story! Djin...
Then you are further along in reaching a decision and can choose among the RT choices presented as appropriate for you. My hunch is that you'll have an option meeting your criteria. Keep us posted...
Men with PNI at biopsy are statistically more likely to have adverse path features (extraprostatic extension, seminal vesicle invasion, positive surgical margins...) than men without no PNI. The PNI...
Setting aside how Epstein's review reflects on your first pathologist(s), the review puts you in the "Intermediate Unfavorable" risk category (Gleason Grade Group 3) and you need treatment. Whether...
One of the major results of PCa genomics is that low, intermediate, and high risk for mets cuts across ALL Gleason scores and path stages. See Table 2 in: Decipher correlation patterns post...
I think it was a Swedish study that found strong statistical correlation between men who had received the vaccine and a lower incidence of PCa. I looked into this and found out that the cholera...
The question of necessity certainly arise. I don't know if a (or any) RO would have agreed adjuvant treatment was wise or prudent without a PSA rise. My prostate was gone, 16 negative nodes had been...
IMO you can put to rest the idea of a few cells "escaping" the prostate because of a biopsy or mechanical/surgical intervention. Many men, especially those who go on to metastatic PCa, have tumor...
One takeaway message I've gotten from papers and videos about met formation is how exceedingly difficult it generally is for CTC (circulating tumor cells ) to establish themselves outside the...
Glad everything is going well for you. Best of luck for a great path report. Be sure to get a written copy of the complete, original report and not a summary-- it is more important than your biopsy...
I'm in favor of having the most information about your particular PCa, including genomics. Perhaps a low-risk Decipher result coupled with presence of the adverse path findings making regional...
Do you have a history of hemorrhoids? My first thought is that if you have symptoms of hemorrhoids, the bleeding is slight and stops as the hemorrhoids reduce, and doesn't recur, you have some...
For newbie G9s and 10s with at least one adverse path finding after RP, D'Amico's group published this relevant study. Surgery vs Radiotherapy in the Management of Biopsy Gleason Score 9-10 Prostate...
Hi BillbyBob, I'm surprised that with a G9 (4+5), SVI+, and SM+ after RP you didn't have adjuvant RT, but perhaps SOC was different when you had surgery. Given your status and inconsistent PSA...
What irks me about a HOMELESS AND PREGNANT sign is, yes, the systemic societal problems that may not have within the person's control and that lead to homelessness. The pregnant part is an entirely...
Way to go! Keep up the good work! Your signature doesn't say, but I assume the RP pathology confirmed the biopsy's G7 (3+4). Djin...
Going from an obviously scary G10 (5+5) biopsy to a comfortable place of smooth sailing (at least for now) has taught me that the biggest gun in the arsenal in the war on PCa is early detection . And...
Keep in mind that the track record of the stricter AS programs are excellent because about 50% of men leave the program for treatment when the protocol dictates. When I asked my uro what protocol he...
Here's an article with some more recent references. Djin...
They are likely referring to different lesions. The 8 cores are confirmed G6 (3+3) lesions. The PIRADS 4 scores are probably two other areas likely to be clinically significant if biopsied, i.e. G7...
PCa has an affinity for growing into and along the fine nerves in the prostate (an perhaps takes these are a route for growing out of the prostate). This perineural invasion (PNI) is seen in as many...
Glad it's over -- stay healthy MG! Djin...
Welcome to the Forum! Here is a review of the protocols for some of the major AS programs, including candidacy and conversion to treatment. Active surveillance for prostate cancer: a systematic...
As for the brief donut excusion, you kneadn't worry, go off half-baked, or get that glazed look in your eye....