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

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ONE YEAR LATER

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Glenn Enoch - 27 Jul 2005 23:34 GMT
One year ago today, I had RRP performed by Dr James Eastham of Memorial
Sloan-Kettering Cancer Center.  My outcome was tremendous.  My only
complication was low blood pressure, for which I received a blood
transfusion (of my own blood).  I had little pain.  I was walking 1+ miles
the day after I got home.   I did have some bladder spasms, with some
leakage of blood, but thanks to reading the experiences of others, I knew
what it was.   I was very continent after removal of the catheter, and
within a few weeks, did not leak at all (except for passing gas when
standing still-- same muscle group).

I had volunteered for a drug trial (GPI 1485).  This substance was supposed
to help protect my nerves from damage during surgery and help them heal
afterwards.  I did regain erectile function faster than normal, and I am
85-90% of my pre-surgical function now.

Most important, I am cancer-free, and have undetectable PSAs.  According to
MSKCC models, I have a 99% chance of being cancer-free ten years from now.

Some thanks are in order:  To my surgeon, one of the "artists" you read
about.  He has a great manner, has a great staff and did a great job.

Also to this group: I learned how to select a treatment here, I found my
surgeon on these posts, I read the experiences of dozens of men that helped
me out when it was my turn.

Thanks.

Signature

Age 46 at time of surgery
PSA: 1.4 (12/00), 2.0 (7/02), 10.3 (3/2/04), 6.0 (retest 3/18/04)
Biopsy 4/5/04 cancer in 10% of one core
Gleason 6 (3+3); clinical stage T1c
Bone Scan negative; pre-surgery PSA 2.8
RRP 7/27/2004
Pathological stage T2a, Gleason 6 (3+3)
³Tumor confined to prostate" and "Surgical margins free of tumor²

Tdub - 28 Jul 2005 02:23 GMT
You lucky guy you! I had the opposite. Although I also had my PCA
caught early, and was relatively young at the time of the RRP (2 years
ago, 53 y.o., and quite physically active), I had about as bad an
outcome as you could get from Dr. John Garnett at Northwestern Hospital
in Chicago. Big time incontinence, had to have the bladder neck routed
out a couple weeks ago, 'cause the anastomosis point was like a
pinhole. And that procedure left more pain for a couple weeks than the
RRP. Big time bladder spasms like I never saw before with the urine
contacting the abrasion wound in the bladder neck from the routing
procedure. I only wish it could be known whether he committed
malpractice, or was it my (peculiar?) physiology that caused the bad
outcome - not so much that I want compensation, but to just know what
happened. I'm having an AMS 800 implanted in a few weeks.
David S. - 28 Jul 2005 12:45 GMT
Be sure to post your experience with the AMS 800.  I am leaning toward doing
this myself (also beginning to think seriously about the penile implant).

On the bad experience with the surgery, I really think a large part of this
is the luck of the draw.  I am not athletic, not in good physical condition,
I am overweight, etc., but I was able to get up, unassisted, less than
twelve hours after leaving the OR (RRP) and walk a bit.  By that evening I
was walking around the entire floor and went home the next morning.  No
pain.  No bleeding.  No hard drugs.  Why?  I have read where guys who think
nothing of riding bicycles up mountains have a lot of trouble.  Why?  No
doubt surgeon skill has a lot to do with it, but I seriously doubt that you
got a dud at Northwestern.

Good luck with the AMS 800.  Did they tell you that you should expect to
still need to wear a pad of some kind (see my next post)?

> You lucky guy you! I had the opposite. Although I also had my PCA
> caught early, and was relatively young at the time of the RRP (2 years
[quoted text clipped - 9 lines]
> outcome - not so much that I want compensation, but to just know what
> happened. I'm having an AMS 800 implanted in a few weeks.
James A. Honeychuck - 28 Jul 2005 07:22 GMT
Congratulations, Glenn.  Thanks for posting your success story.

jimhoney
standard RRP age 52, cured, no significant aftereffects

> One year ago today, I had RRP performed by Dr James Eastham of Memorial
> Sloan-Kettering Cancer Center.  My outcome was tremendous.  My only
[quoted text clipped - 22 lines]
>
> Thanks.
David S. - 28 Jul 2005 12:37 GMT
Good for you Glenn.  And thank you for the follow up.  Speaking just for
myself, it feels good to read where someone found the information on this
group helpful.  I know that just doing the posting is in itself therapeutic
for me, i.e., a selfish satisfaction, but it really feels good when someone
says that what has been posted here is useful to others.

Good luck to you.

David S.

> One year ago today, I had RRP performed by Dr James Eastham of Memorial
> Sloan-Kettering Cancer Center.  My outcome was tremendous.  My only
[quoted text clipped - 22 lines]
>
> Thanks.
Tdub - 28 Jul 2005 14:06 GMT
Wearing a pad after an AMS 800 implant would be no problem for me - as
it is now, I am so restricted on the adventures I can undertake, that
the 800+pad will be  a big relief.
David S. - 28 Jul 2005 17:24 GMT
yea, I know what you mean.  I just got up from my desk to get a book and got
a big squirt in the Depends.  This is getting old.

> Wearing a pad after an AMS 800 implant would be no problem for me - as
> it is now, I am so restricted on the adventures I can undertake, that
> the 800+pad will be  a big relief.
Sandy K. - 28 Jul 2005 17:11 GMT
> One year ago today, I had RRP performed by Dr James Eastham of Memorial
> Sloan-Kettering Cancer Center.  My outcome was tremendous.  My only
[quoted text clipped - 22 lines]
>
> Thanks.

Glenn - Good to hear all is well.  I too am doing well, zero PSA's and
erectile function begining to return.

Sandy K.
Beverley - 29 Jul 2005 00:45 GMT
Yippee!!!!

I'm so glad things have turned out so well for you. I hope that 10 years
from now you will look back on your RP as just a speed bump on the road of
life.
Bev

> One year ago today, I had RRP performed by Dr James Eastham of Memorial
> Sloan-Kettering Cancer Center.  My outcome was tremendous.  My only
[quoted text clipped - 22 lines]
>
> Thanks.
Steve U - 30 Jul 2005 00:17 GMT
Glenn,
Happy Anniversary! Glad you did so well.
SteveU
Steve Kramer - 30 Jul 2005 16:49 GMT
Happy to hear you're doing well, Glenn.

Signature

PSA 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

> One year ago today, I had RRP performed by Dr James Eastham of Memorial
> Sloan-Kettering Cancer Center.  My outcome was tremendous.  My only
[quoted text clipped - 22 lines]
>
> Thanks.

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