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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2005

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Pops - 23 Feb 2005 13:53 GMT
10/03 PSA = 1.24 age 60
11/04 PSA = 15.7 age 61
DRE negative
biopsy G5,G7 (both sides)
stage = t2b
LRP 1/24/05. (My last time in a hospital was 30 years ago for rotator
cuff surgery resulting from a skiing accident)

Margins and lymph nodes clear. No problems with surgery and absolutely
no pain. Doc did say that gland was swolen and I was in surgery for 5.5
hours. Home in two days. back to work in 3 weeks. some incontinence but
improving. Libido OK, the mind is willing but the body ain't
cooperating yet.

First post-op PSA scheduled for May. Thought I'd be totally relieved as
the surgery results were so positive, but finding that I'm really
worried about that post-op PSA reading. Guess I'll never really "forget
about it".

Guess I'm looking for reassurance and support from those of you who
have so boldly gone before...

If PSA is elevated what are my options??

Is it necessary to loose that last bit of my male-ness??
James A Honeychuck - 23 Feb 2005 14:23 GMT
If PSA is not undetectable, don't worry about it.  One month is too soon
for it to zero out.  I don't know why they are even checking it so soon.
 Good service maybe.

jimhoney
standard (ouch) RRP age 52, cured, no significant aftereffects

> 10/03 PSA = 1.24 age 60
> 11/04 PSA = 15.7 age 61
[quoted text clipped - 21 lines]
>
> Is it necessary to loose that last bit of my male-ness??
James A Honeychuck - 23 Feb 2005 16:17 GMT
Sorry Pops, I misread your post about when your first PSA will be measured.

jimhoney
Sandy K. - 23 Feb 2005 14:27 GMT
1st PSA post-op is always a bit nerve racking.  My advice is don't sweat it.
Your post surgery results sound pretty good.  Keep doing your kegels, don't
sweat the erections and before you know it, May will come and go...

Good luck,
Sandy K.

> 10/03 PSA = 1.24 age 60
> 11/04 PSA = 15.7 age 61
[quoted text clipped - 21 lines]
>
> Is it necessary to loose that last bit of my male-ness??
JohnG - 23 Feb 2005 16:27 GMT
> First post-op PSA scheduled for May. Thought I'd be totally relieved as
> the surgery results were so positive, but finding that I'm really
> worried about that post-op PSA reading. Guess I'll never really "forget
> about it".

One milestone in your recovery is when one day it suddenly occurs to
you, "You know, I didn't think about prostate cancer even once
yesterday!"

Then there might come a time when it's multiple days.  It has happened
to me, in times when I've been away from this ng for a while.

> Guess I'm looking for reassurance and support from those of you who
> have so boldly gone before...
>
> If PSA is elevated what are my options??
>
> Is it necessary to loose that last bit of my male-ness??

There are usually options that are not quite that drastic.

JohnG
David S. - 23 Feb 2005 18:01 GMT
Get used to the anxiety before each PSA test.  That is normal.  A lot of
guys here report that.  Of course, some of us have been accused of being
"worriers", so maybe some guys don't think about it after awhile.

The clear margins, etc., sound good, so I would not worry too much about the
additional treatment alternatives.  I suppose radiation to the prostate bed
would be the normal thing, but I know there is some controversy about how
and when to do that.  I am sure that people with more knowledge on that will
comment.

As to your last bit of maleness, I think the family jewels are safe.  If you
were in a situation where therapy was required, and the doctor suggested
orchiectomy, I think I would look for a second opinion.  I think the hormone
therapy has replaced that, at least in this country.

Good luck to you.

yet.

> First post-op PSA scheduled for May. Thought I'd be totally relieved as
> the surgery results were so positive, but finding that I'm really
[quoted text clipped - 7 lines]
>
> Is it necessary to loose that last bit of my male-ness??
judamd@aol.com - 23 Feb 2005 19:40 GMT
Yeh, you'll worry about the first PSA as we all do.  That's the one
that will indicate if a huge chunk of cancer was left behind or that it
had spread to other parts of the body - both possibilities very
unlikely in your case (and mine too but still we worry).

The other PSA test I fretted over (for no reason it turns out) was the
18 month test since I read somewhere that 18 months is the median time
for a recurrence if there ever is to be one.  I suppose I'll always
worry about these things, just my nature I guess.
Dave Perry
Steve Kramer - 24 Feb 2005 00:48 GMT
Pops,

You will note that my numbers (aside from age) mirror yours.  I would not
concern myself, if I were you, with what if's.  Your post op biopsy was
clean.  You should be expecting a PSA in May of 0.1 or less.

However, if you want to keep options in the back of your mind, the next step
after your PSA has been tested and found elevated TWICE usually is radiation
to the prostate bed.  I breezed through my salvage radiation.

My best advice is not to worry about it.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3bN0M0
Seminal Vesicle involvement, Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA  .07 .05 .06 .05

non Illegitimi carborundum

> 10/03 PSA = 1.24 age 60
> 11/04 PSA = 15.7 age 61
[quoted text clipped - 21 lines]
>
> Is it necessary to loose that last bit of my male-ness??

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