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Medical Forum / Diseases and Disorders / Prostate Cancer / April 2005First PSA Post RP
Had my first PSA post March 24th RP. Nurse said that lab would send me the results and my doctor set me up for another PSA in 3 months. Should my first PSA post RP be indicative of what I should expect if everything went the way I am hoping it has or should I not sweat the first and wait until the second PSA and see if there was a rise in PSA between the two? Also my doctor stated that he saved the nerve bundles but doesn't know what effect the surgery may have had as far as erections goes. Since I haven't been sexually active since the death of my girlfriend from lung cancer in 2003 he still wants me to take a 50mg Viagra tablet everyday and gave me 3 sample packs (18 tablets) to take. I don't expect to be seeking female companionship during the course of these 18 tablets so I am wondering if the Viagra was given just to see if erections are possible through visible stimulation or what? Lastly, it has been 26 days since my surgery but I am still passing blood every time I urinate. Doctor didn't seem to be surprised at this but he did take a sample to run a culture for infection. My question here would be, is it common for one to still be passing blood a month after surgery? Also he asked if it still stings after I urinate which I replied yes. Again, one month after surgery is this a common occurrence? Thanks (Jack)ie After RP, the first PSA reading after 90 days should be undetectable. If the doctor told you you had clear margins, you should already not be sweating this. Sorry I can't answer your other questions. jimhoney standard RRP age 52, cured, no significant aftereffects (Jack)ie wrote: > Had my first PSA post March 24th RP. Nurse said that lab would send me > the results and my doctor set me up for another PSA in 3 months. Should [quoted text clipped - 22 lines] > > (Jack)ie Jack, As already mentioned by Jim - 30 days after RP the PSA should drop below 1 and stay there for years to come Viagra pills are not vitamins and will have no effect unless you are in bed with a female preferably naked Urine should be clean of blood after 14 days from RP, unless you exercise a lot - in which case relex a bit and let it all heal Reuben >After RP, the first PSA reading after 90 days should be undetectable. > [quoted text clipped - 33 lines] >> >> (Jack)ie Hi Jack. I'm having my first PSA post surgery on Friday. This will be almost 6 weeks after the March 21st. surgey date. With clear margins and no lymph node problems I'm hoping for an undetectable also. I still pass small brown clots occasionally which is older blood but on 3 occasions...I passed a red clot and a gush of red urine. It stopped right away as my next urination was OK. I don't know if it was from carrying groceries or bending funny but some of us aren't healed yet. About Viagra...I will be asking for something to get the blood flowing back to the penis as was mentioned earlier. My doc likes Cialis but I don't see him for 2 more weeks. I'll have to either call him...or "get busy" on my own. Physical stimulation seems to be the way to go. Be well, Ron B. Chicago > Hi Jack. > I'm having my first PSA post surgery on Friday. [quoted text clipped - 14 lines] > Ron B. > Chicago Hoping for the best on your first PSA. I too, in addition to passing blood, pass both dark and bright red clots at times. Since I have no one else to help with things around the house the passing of blood this late may indeed be just doing everyday things that others with help may be able to avoid (cleaning, cooking etc.) Just got a call back on the path report and the margins. Lymph nodes and seminal vessels were negative as well as all incisional margins except for one area that showed, "atypical cells that could be an extension of the tumor, difficult to determine". I think this means that the pathologist doesn't know for sure one way or the other. I guess the PSA tests will determine what the future may hold but it would have been nice to get a path report that was clearer than the one I got. (Jack)ie > Jack, > Viagra pills are not vitamins and will have no effect unless you are > in bed with a female preferably naked Beg to differ here. There are some indications that taking Viagra regularly after RP may hasten erectile function. I believe a study was done on this. This is probably why your uro wants you to take the Viagra. Hi Jack...I've added some comments within the body of your post...Best wishes and good health, Ron (Jack)ie wrote: > Had my first PSA post March 24th RP. Nurse said that lab would send me > the results and my doctor set me up for another PSA in 3 months. Should > my first PSA post RP be indicative of what I should expect if everything > went the way I am hoping it has or should I not sweat the first and wait > until the second PSA and see if there was a rise in PSA between the two? PSa has an in vivo half-life of roughly 3-5 days depending upon the individual. Most people say it takes about 10 half-lives to remove the PSA that was a) in your bloodstream prior to surgery and b) released into your bloodstream by surgery. So a PSA measurement at only 26 days post surgery may yield a value higher than what will be measured at your next 3-month blood draw, but it should definately be lower than your pre-surgical PSA. > Also my doctor stated that he saved the nerve bundles but doesn't know > what effect the surgery may have had as far as erections goes. Since I [quoted text clipped - 4 lines] > wondering if the Viagra was given just to see if erections are possible > through visible stimulation or what? Studies have shown that V promotes blood flow into the nerves that may have been damaged during surgery. Blood flow will promote their recovery, thereby making erections down the road more likely. > Lastly, it has been 26 days since my surgery but I am still passing blood > every time I urinate. Doctor didn't seem to be surprised at this but he > did take a sample to run a culture for infection. My question here would > be, is it common for one to still be passing blood a month after surgery? Sounds like a long time to me. > Also he asked if it still stings after I urinate which I replied yes. > Again, one month after surgery is this a common occurrence? I don't think it is common at 26 days post, but I don't know for sure. > Thanks > > (Jack)ie Sorry about your GF Jack. If your margins were clear, your PSA will be undetectable. You learn to sweat out each result as the months and years roll by, and this all hopefully becomes a bad dream. Some are doing this early Viagra thing, but I haven't seen any postive conclusions drawn yet from anyone. Most of us try it after a couple of months post RP and even then the results are spotty. The visual stimulation is almost nill from everyone I've spoken too. I'm almost 3 years post RP and get erections only with stimulation. You'll need to try and get intimate with your little pal as soon as you can to get him ready and willing to go again.  SignatureJK Sinrod Sinrod Stained Glass Studios http://www.sinrodstudios.com/ Coney Island Memories www.sinrodstudios.com/coneymemories/ > Had my first PSA post March 24th RP. Thanks for all the replies. They have been helpful. My doctor has been vague about the margins only saying that the cancer was more 'extensive' according to the path report but he 'believes' that he got it all. He did note that my Gleason remained the same 3+3. My pre-op PSA was a 3.3 and my staging was T2c. Today I called his secretary and left a message for her to find out from the path report and call and tell me if the margins were negative or positive (still waiting for the return call) . I believe the blood that I am still passing may be from the damn catheter which had to be removed a day early (13 days ago) because of problems with it functioning properly. My urine was almost completely clear before the catheter's balloon stopped it from working properly and after going almost 24 hours passing almost nothing but small amounts of blood it was removed. The stinging had gotten better also until this happened. As far as the Viagra, I guess I will take them as instructed unless I experience some serious side effect. Again thanks for all the replies. (Jack)ie Jack, Rather than have her tell you over the phone, get a copy of the report and read it yourself. Or, get it and type to us the exact wording. Some of us are pretty good at interpreting medicalese. Especially our resident MD. SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 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 > > Had my first PSA post March 24th RP. > [quoted text clipped - 22 lines] > > (Jack)ie > Jack, > [quoted text clipped - 28 lines] > > > > (Jack)ie If the nurse calls, you're in the clover. If the doc calls watch out. Jack, I think you need to shift down on your brain. You're worrying way too much if you're worrying about this PSA and the next PSA and the difference between the two. Worrying about this PSA result is a fact of life. We all went through it. Most of us still go through it. After RRP, you should expect a <0.1 PSA. Especially if you're a 3.3 PSA going in and your doc salvages both nerve bundles. If this one is not <0.1, I'd be surprised. If the next one is not, I'd be astounded. However, you should not be waiting this long for your 3/24 results. Call your doc. And call your doc about the peeing problem. Probably a minor resolution to it. SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 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 > Had my first PSA post March 24th RP. Nurse said that lab would send me > the results and my doctor set me up for another PSA in 3 months. Should [quoted text clipped - 22 lines] > > (Jack)ie (Jack)ie, My doc said the PSA at 1month should be <0.1. It was. I started the injections day 13 post op. I used them 3-4 times a week to have sex. They were great! I think they helped get my erection back. I started using the pills at about 3 months on nights I was not using shots. At 14 months I have about 75 % of my erectile function back, and improvement continues. My doc said use it or loose it. I agree. I had intemitent bleeding for 8 weeks. At 6 weeks I still felt like I had sand in my urine, so I thought I must have an infection. A culture was negative. The doc said he would give antibiotics anyway if I wanted, but suggested waiting. I cleared up spontaneously at about 2 months, and my urinary function was excellent. Steve U |
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