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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2004

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Lillian - 04 Feb 2004 04:08 GMT
My husband was just diagnosed.  I could probably write a 10 page email
on what I need advice with, but I will try to keep it simple.
My husband is 55 healthy except for pc.  His PSA is 3.1; Gleason is a
6 (3+3);T1C. He jogs 3 to 4 times a week and keeps himself in pretty
good shape.

He is a pretty private person, so other than his doctor I am the only
one he is talking to.  His fears are as follows:

1. He's afraid his friends will write him off as a tired old man, or
that people will take pitey on him and think of his as a sickly old
man.
2. He does not want his daughter (my stepdaughter) to know because he
doesn't want his exwife to find out and call him with a dozen
questions.
3. He has decided to have surgery (LRP) he is not worried about the
bladder problems, but is terrified about sexual problems.  I have
tried to get him to at least read some of the things in this group,
but can't. So I am doing all of the reading and talking to him about
what I have found out.

I love this man, and really want to help but there are just some
questions I cannot answer.  I need to know a good source that talks
about orgasim without an erection, because if I can prove to him that
we can still have a good sex life even without an erection, I think it
would help as this is his biggest fear.

Thanks
Lillian
AW - 04 Feb 2004 10:38 GMT
Lillian,

What better source than right here.  What better people to talk to than
right here.  Because we have all been there, all of us thought, prior to
PCa, that it was not possible to have an orgasm without an erection but we
all now know it is possible and a very natural thing.  You know at 55 years
of age I even bet that erections will return.  Just read the posts and ask
questions, you and your husband will get the answers.

Good luck
AW

> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 25 lines]
> Thanks
> Lillian
Dave - 04 Feb 2004 10:56 GMT
Lillian,

Sorry that your hubby is a member of the club no-one wants to join.  I
was diagnosed just recently too and we all know what he is going through.

I'm just 52 and I've heard of guys at 40 getting PCa, so he's not the
youngest.

I'd really try and get him to read the posts on this group, everyone
here is fantastic, has experienced everything (good and bad) and I've
seen nothing but help and support from these guys.  And of course this
has the advantage of being totally anonymous if that's what he prefers.

I think if his friends desert him as a "tired old man", they can't be
very good friends.  However, friends that I've told have had different
reactions, some don't want to know or talk about it (it could of course
happen to them too), some just surprised, some curious, all pretty
supportive though.  Maybe he should give them a try.  I guess his
daughter will find out soon enough, better to find out from him in my
opinion, but I can certainly understand his reluctance.

There's some terrific info on various websites, particularly this one:
http://www.phoenix5.org/menuprostate.html

I'm sure others will post other references too.

I wish you all the best in the coming months.

Dave
Steve Kramer - 04 Feb 2004 11:34 GMT
> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
> My husband is 55 healthy except for pc.  His PSA is 3.1; Gleason is a
> 6 (3+3);T1C. He jogs 3 to 4 times a week and keeps himself in pretty
> good shape.

Very sorry to welcome you and your husband to this club.  Suffice it to say,
if one has to have prostate cancer, he has all the right numbers for a cure.

> He is a pretty private person, so other than his doctor I am the only
> one he is talking to.  His fears are as follows:

More than likely, like most of us, he is in shock over his diagnosis and
that is really why he doesn't want to talk to anyone about it.  There is
also that little thing about 'being a real man', gutting it up and taking it
on by himself.  That worked for me in 2000.  When I had a recurrence in
2002, I found and joined this group.

> 1. He's afraid his friends will write him off as a tired old man, or
> that people will take pitey on him and think of his as a sickly old
> man.

Aint going to happen.  With LRP, he'll be down and out for a few days, and
he will feel like a tired old man for a couple of weeks.  I have not taken
off a sick day since my operation in 2000.  Even when I went through 35
radiation treatments for recurrence, I did not take off.  This is just not
that debilitating.  As a matter of fact, I still have not had my first
symptom of prostate cancer.

> 2. He does not want his daughter (my stepdaughter) to know because he
> doesn't want his exwife to find out and call him with a dozen
> questions.

I don't know your husband well enough to call him selfish.

> 3. He has decided to have surgery (LRP) he is not worried about the
> bladder problems, but is terrified about sexual problems.  I have
[quoted text clipped - 7 lines]
> we can still have a good sex life even without an erection, I think it
> would help as this is his biggest fear.

1.  Tell him not to look back.  He made his decision and he needs to look
forward from here on out.  He will find it is over before he knows it.

2.  You are the key, in my humble opinion, to his sex life and his eventual
sexual potentcy.  Without going into graphic detail, there are some things
that you can do that you may not have done before.  Eventually, through
diligence and exercise, his penis will begin to work to some extent.  There
are also oral and injected medecines that might make it work and there are
pumps that will make it work.  But, if you exercise it often, two years from
now, you may not need any of that.  I had an RRP with no nerve sparing and
had a usable erection in 1 year, 5 months, and 5 days with virtually no help
from my wife.  I'd be glad to provide details, in private email, but you'd
probably rather discuss those with some of the women here (Bev, Heather,
Linda, Sandi).

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

johniebaggy - 04 Feb 2004 12:10 GMT
Lillian,

You've already got some good replies to your questions already.  I'll just reinforce that his partner (you) is the best medicine toward a healthy & wonderful sex life.  Communication between both of you most important.  Experiment with different ways that work for both of you.  I've enjoyed the best love making of my life *after* my prostatectomy because my partner has been so wonderful. & this is without any aides whatsoever.  Just me, limp willy & the love of my life.

Johnie
Lillian - 04 Feb 2004 15:43 GMT
> Lillian,
>
> You've already got some good replies to your questions already.  I'll just reinforce that his partner (you) is the best medicine toward
a healthy & wonderful sex life.  Communication between both of you
most important.  Experiment with different ways that work for both of
you.  I've enjoyed the best love making of my life *after* my
prostatectomy because my partner has been so wonderful. & this is
without any aides whatsoever.  Just me, limp willy & the love of my
life.

> Johnie

Thanks everyone for all of your support.  I hope to get my husband on
here soon, I am printing out everyones responses for him and I think
once he sees how helpful talking to others with the same issues can
be, he will start writing himself.
jimhoney - 04 Feb 2004 12:21 GMT
> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 8 lines]
> that people will take pitey on him and think of his as a sickly old
> man.

All these things are addressed in Dr. Walsh's Guide to Surviving Prostate
Cancer.  Probably the best $25 I ever spent.

On point 1, remember that the frontrunner in the Democratic race had an RRP
(or LRP, I don't know which) last year, and nobody wrote him off, or even
talks about it any more.  And the man I would like to see as president,
Colin Powell, had an RRP within the last 60 days.  And as for little old me,
I found that people just want to know you're all right.

> 2. He does not want his daughter (my stepdaughter) to know because he
> doesn't want his exwife to find out and call him with a dozen
> questions.

??  I'm no lawyer, but this is none of her business, is it?

> 3. He has decided to have surgery (LRP) he is not worried about the
> bladder problems, but is terrified about sexual problems.  I have
> tried to get him to at least read some of the things in this group,
> but can't. So I am doing all of the reading and talking to him about
> what I have found out.

Considering his age and diagnositic numbers, the chances of permanent sexual
problems are very small.  See Dr. Walsh's book or just about any other
source which quotes statistical studies.

Stay with us.

jimhoney

> I love this man, and really want to help but there are just some
> questions I cannot answer.  I need to know a good source that talks
[quoted text clipped - 4 lines]
> Thanks
> Lillian
pennskeCT - 04 Feb 2004 12:41 GMT
Lilian,

Fears are as real as we make them. It is interesting that his fears
are based on relations and not combatting the cancer. I hope that
means he has a postive outlook on that element.

I was 45 when diagnosed. He may be surprised to find his friends rally
around him to provide support. We had a group that provided meals for
our family for over two weeks. I think that if he takes a strong,
positive outlook on life and does not resort to a person that is
appears to be seeking pity, he will be fine. If he doesn't change it
is unlikely that his friends will view him differently. Cancer
can/will eilicit change. His life will change. He will have to
potentially deal with some major issues - incontinence, ED. Your
support will help. Patience is key - just a this cancer is a slow
growing cancer, the body's recovery from the surgery can be slow. He
sounds in good physical shape - that will help his recovery form the
surgery, as will the fact he is going the LRP route.  The ED issue may
take time. As you read posts on here, some have no problems, some are
still dealing. Myself - two years post RRP with no nerves spared
(nerve graft though) i am having encouraging signs. Plus there are
methods (physcial/chemical) to help adddress that issue. His situation
may be more favorable if they are performing nerve sparing surgery.
The phoenix 5 website (http://www.phoenix5.org/menumain.html) provides
some frank discussions on sexuaity and intimacy for PCa folks.

On the former wife/daughter issue. I don't know the age, but i belive
communications is important and his daughter should know. On the
ex-wife situation, i feel she should be advised, but i don't know all
the particulars (and would prefer not to know!!)

Good luck to both of you. Based on your posting and seeking help - it
sounds like he has a strong partner who will be going into the battle
with him. Be strong and enjoy life, even with its trials.

Regards.....Bill
--------------------------
> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 25 lines]
> Thanks
> Lillian
Leonard Evens - 04 Feb 2004 15:12 GMT
> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 8 lines]
> that people will take pitey on him and think of his as a sickly old
> man.

One is six men get prostate cancer at some point in life.  Many of the
people here consider themselves vigorous for men at any age.   So these
fears are unfounded.

He is suffering depression as a result of the cancer diagnosis, which is
completely understandable.  All of us went through the same thing.  The
important thing is to recognize depression for what it is and try to
fight the feelings which follow.

> 2. He does not want his daughter (my stepdaughter) to know because he
> doesn't want his exwife to find out and call him with a dozen
> questions.

He should tell his daughter but refuse to talk to his ex-wife about it
if he feels he doesn't want to.

> 3. He has decided to have surgery (LRP) he is not worried about the
> bladder problems, but is terrified about sexual problems.  I have
> tried to get him to at least read some of the things in this group,
> but can't. So I am doing all of the reading and talking to him about
> what I have found out.

The first thing he should realize is that even if he ends up permanently
impotent,  that doesn't mean the end of your sexual life.   There are
ways to deal with impotence.   Many men use injections satisfactorily.
I used a pump for 18 months following surgery, and we had sex with about
the same frequency as before the surgery.

Secondly, if his surgeon is skilled at nerve sparing surgery, he stands
an excellent chance of recovering erections.   In most cases it takes
from three months to a year, but in some cases, it can take two years or
more.   (That is what happened to me.   I can manage with no help
whatsoever, but I do a bit better with a small amount of Viagra.)

> I love this man, and really want to help but there are just some
> questions I cannot answer.  I need to know a good source that talks
> about orgasim without an erection, because if I can prove to him that
> we can still have a good sex life even without an erection, I think it
> would help as this is his biggest fear.

Actually he can have both the orgasm and the erection.  Orgasm happens
in the brain and while it may not be exactly the same, it will still be
well worth the effort.  Either the erection will come about normally
because nerve sparing surgery succeeded or it can be induced by
appropriate measures.

> Thanks
> Lillian
Alan Meyer - 04 Feb 2004 15:47 GMT
> My husband was just diagnosed. ...
> He is a pretty private person, so other than his doctor I am the only
> one he is talking to.  ...

When I was diagnosed it was a tremendous pyschological blow.
I wanted to curl up in a hole and disappear from the world.  However
I went back to work the next day and, feeling that it would be a
great psychological burden to conceal this life altering fact from
all the people I saw every day, I went ahead and told everyone.

I'm really glad I did.  Instead of having a deep dark secret, I was
able to be the person I always was.  Nobody shrank from me.
Nobody treated me like I was a dead man.  What they did was
key their feelings to mine.  When I talked openly about it, they
did so too.  When I made jokes about it (I read, for example,
Curtis Palmer's wonderful poem "Ode to Willy") they lightened
up too and were able to connect with me as one human being
to another.

Everyone has been sympathetic.  I found that I had more
friends than I imagined, and more people cared about me than
I realized.

I recommend to your husband that he be completely open and
above board.  People will watch his own reactions to his plight
and take their cue from him.  If he reaches out to them, they'll
reach back.

At any rate, that's what my experience has been.

  Alan
Rebecca Ford - 04 Feb 2004 22:16 GMT
Lillian,

We were where you are right now sometime last May. My husband is 42, had a
psa of 6.6, was a T1c and was in great shape. He had an RRP June 23. The
cath came out after 2 weeks and he was completely dry. He only leaks when
he's had too much to drink, although he can't hold it as long as he used to,
kind of like me after two babies. He actually had an erection on the
operating table and had a usable one at day sixteen. He was back biking
within 6-8 weeks and has been skiing almost every day this winter. He tells
me his orgasms are different but still good. Even if he hadn't got erections
back we were planning all sorts of different ways to have a healthy sex
life. I just wanted him alive.

My hubby had the same reaction as to keeping it private. It didn't last
long. I needed to talk and our friends wanted to know what was going in woth
us. We had only just moved to a new town a few months before his diagnosis
and he didn't want everyone to just see him as "the young guy with the old
man cancer." In the end, everyone knows and we had great support. Nobody
looks at him as a washed-up guy.

I would recommend telling your step-daughter. Having his ex call him is
minor compared to cancer. Our kids, who will be 5 and 8 in a few weeks, were
told about the cancer at a level that they could understand. We considered
keeping it from them but it was obviously the only thing we could think
about for months.

So far we've had undetectable psas and the cancer seem more like a bad
memory, but one that has made us embrace life and each other more. I wish
the same for you. If you want to email me privately or have any other
questions feel free to do so. And buy Patrick Walsh's Guide to Surviving
PRostate Cancer.

Signature

Rebecca Ford

> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 25 lines]
> Thanks
> Lillian
Danny McCarty - 04 Feb 2004 22:24 GMT
>Subject: Need Advice
>From: lpagano@yahoo.com  (Lillian)
[quoted text clipped - 30 lines]
>Thanks
>Lillian
 I am still totally impotent going on 3 years since RRP, but I enjoy orgasms
regularly.  I have been smiling for forty years, and still do.  With a PSA of
3.1 and Gleason of 6, it is likely that your husband will never experience any
symptoms of PCa and will die in 25 years or so of heart attack or stroke or
some other "normal" cause.  Don't worry.  Of course, GET TREATMENT for the PCa.
Beverley - 04 Feb 2004 23:48 GMT
Hi Lillian,
Just ask away and you can email me privately if you don't want to ask this
mostly male group. (Although I must say these guys are good - besides they
can't see us blush. LOL)

One thing that he does need to do is tell his daughter because her chances
of having breast cancer or other "female" cancers just sky rocketed as this
is a hormone driven cancer and the hormone driven cancer runs in families.
Now, when he tells her is up to him but she does need to know. (Also it
would be smart to inform brothers and sons, obviously!)

My husband was 55 when he had his treatment for PC. He had external beam
radiation followed by brachytherapy. I promise he's not an old man. No one
has ever treated him as such and he's had a few sympathy type responses from
people when they found out but not much. In fact, often, I think people just
accept this as if it were just some minor little boo-boo. To the point that
I want to scream "This is CANCER , it's serious!!!! What part of cancer do
you not understand????" So you just might find the reaction is quite the
opposite of what you might expect.

Actually your husband is right on the fence of what I joking refer to as the
fence between being way too young for this type of cancer which tends to be
very aggressive and dangerous in younger men and being an old fart with slow
growing cancer that might never be a problem. Seems there's a bunch of men
about age 55 who are being treated for PC thanks to early detection.

Explain to him that the greatest sexual organ is not between the legs but
rather between the ears. If the head between the ears is in the right place
he will find any temporary problems surmountable. Just being willing on your
part will help. I think that has been one of the biggest problems for many
of the guys is their lack of a willing partner. If their partner thinks sex
is just missionary position intercourse then they are going to have a
difficult road to travel. (And no guys, I'm not saying any more.)

There is a great website that will give you some of the best information you
will find anyplace.  http://www.phoenix5.org
Bev

> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 25 lines]
> Thanks
> Lillian
Larry Wheat - 05 Feb 2004 01:53 GMT
> Hi Lillian,
> Just ask away and you can email me privately if you don't want to ask this
[quoted text clipped - 63 lines]
> > Thanks
> > Lillian
Heather - 05 Feb 2004 04:35 GMT
Hi Lillian......

There are a few of us on here whose husbands don't ask the
questions......we do, grin.  Mine doesn't know how to turn a computer
on.....let alone type.  But I just have a couple of things to say to
you.......

Btw, my husband is a young 71 and had way higher numbers than yours
does.  But the age factor comes into play.  He had HDR (high dose
radiation) followed by 25 regular radiation treatments last August and
Sept.......he is doing just fine!!  In fact, tomorrow we go for his 6
months checkup.  But won't get the PSA number until next week.  And no,
we are not the least bit worried......worry won't change the numbers,
period!!

Anyway.....we have one daughter, age 40, who lives on the West Coast and
we didn't want her to know and be terribly upset when we didn't know
much ourselves.  But once I told her, a tremendous burden was lifted off
my shoulders!!!  Of course she was upset......but she is a trooper.
Flew home for 10 days just to be with him and came to our first meeting
with the radiation oncologist.

Ron seemed to tell certain people (he too is extremely private), but he
had no problems doing so.  Me.....I told those that I knew would be
supportive and they were there for me all throughout!!  As was this
group of guys!!  I was just devastated for quite a while......so I know
how you feel.  But these guys helped tremendously.  (and gals)

I only told one person who backed away.....he was terrified and didn't
know what to say to Ron.  I think I had to give him more of a 'talking
to' than my husband, grin.  He just plain didn't know how to deal with
it.  He is fine now and drops in to chat about all sorts of stuff.

So don't worry about telling his friends.  What amazed me at our age was
just how many men had (or have) prostate cancer.  My sister's husband
had it at the same time (age 65).  Frankly, most of them worried more
about incontinence than sexual performance.  And I find that more men up
here in Canada seem to go for radiation.....given the choice.

So tell him to break it to his daughter gently.....do not leave her out
in the cold.  He will know when the time is right.  We waited about 2
months until we had all the bone & CT scans and stuff.  Frankly, in many
ways, I wish I had told her sooner......we have a fantastic relationship
and I really hated not being able to talk to her about it.

I am here for you too if you want to talk.....but Bev and the others are
closer to your age and problems.  We are the 'old fogies'......grin.  I
am 65 btw.  So quite frankly, sex is not high on our list.  I think I
have had my quota for this lifetime.....lol.  Life is far more important
to us.  And quality of life.

All the best......Heather (and Ron)

> > My husband was just diagnosed.  I could probably write a 10 page email
> > on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 25 lines]
> > Thanks
> > Lillian
Heather - 05 Feb 2004 04:38 GMT
Posted and emailed......

Bev.....I was blown away by the paragraph below.  We have breast cancer
in the family (my mother) and I didn't know that our daughter had an
increased risk of it because of Ron's Pca.

Are there articles on this?  Elayne, myself and my sister have all had
benign breast lumps, so this makes it rather double-barrelled for her.

Best.....Heather

> One thing that he does need to do is tell his daughter because her chances
> of having breast cancer or other "female" cancers just sky rocketed as this
> is a hormone driven cancer and the hormone driven cancer runs in families.
> Now, when he tells her is up to him but she does need to know. (Also it
> would be smart to inform brothers and sons, obviously!)
Beverley - 06 Feb 2004 00:59 GMT
Off the top of my head I'd say check the phoenix website - I think Robert
had something out there on it. But yes, her odds just rose significantly.
Really sucks doesn't it!
Bev

> Posted and emailed......
>
[quoted text clipped - 16 lines]
> it
> > would be smart to inform brothers and sons, obviously!)
J - 06 Feb 2004 01:16 GMT
> One thing that he does need to do is tell his daughter because her chances
> of having breast cancer or other "female" cancers just sky rocketed as this
> is a hormone driven cancer and the hormone driven cancer runs in families.
> Now, when he tells her is up to him but she does need to know. (Also it
> would be smart to inform brothers and sons, obviously!)

Seems to be the reverse?
http://www.phoenix5.org/stories/firstpers/pershawke.html
PCa is hereditary as well as being a high-risk cancer for those who have family
members with other forms of cancer, especially breast cancer.[]

Or if someone finds a full explanation, would appreciate it (for other
newsgroups and friends and family).
Thank you
J
jimhoney - 06 Feb 2004 01:54 GMT
> > One thing that he does need to do is tell his daughter because her chances
> > of having breast cancer or other "female" cancers just sky rocketed as this
[quoted text clipped - 11 lines]
> Thank you
> J

I have never heard this theory before, nor have I ever heard the term
"hormone driven cancer."  No mention of a connection between prostate and
breast cancer in Dr. Walsh's book.  (Family history risk factor is just male
relatives who have also developed PCa.; see pp. 40-41.)

The quotation from the Phoenix5 site is from an essay by a geologist, with
no source given.  I put the quote into Google to see if I could find the
source, but it only points back to the geologist on Phoenix5.

Also, I don't see prostate cancer in a relative as one of the risk factors
for breast cancer on this rather detailed list:
http://www.ucdmc.ucdavis.edu/ucdhs/health/a-z/06BreastCancer/doc06risks.html

jimhoney
not a doctor, just a veteran of PCa
Beverley - 06 Feb 2004 05:00 GMT
Ok, now you guys have just added to my to do list. Now I have to find the
connection between PC and other hormone driven cancers.
Bev

> > > One thing that he does need to do is tell his daughter because her
> chances
[quoted text clipped - 27 lines]
> Also, I don't see prostate cancer in a relative as one of the risk factors
> for breast cancer on this rather detailed list:

http://www.ucdmc.ucdavis.edu/ucdhs/health/a-z/06BreastCancer/doc06risks.html

> jimhoney
> not a doctor, just a veteran of PCa
johng - 06 Feb 2004 06:33 GMT
> Ok, now you guys have just added to my to do list. Now I have to find the
> connection between PC and other hormone driven cancers.
> Bev

That reminds me.   Some folks at the medical school where I got my surgery have
been dunning me to provide family information for a study that, as I understand
it, is looking at the genetic links between prostate and breast cancer.

JohnG
J - 07 Feb 2004 00:08 GMT
> Ok, now you guys have just added to my to do list. Now I have to find the
> connection between PC and other hormone driven cancers.
> Bev

http://www.nci.nih.gov/cancerinfo/pdq/genetics/breast-and-ovarian
#Section_6
Major Genes
Introduction
Epidemiologic studies have clearly established the role of family history as an
important risk factor for both breast and ovarian cancer. After gender and age,
a positive family history is the strongest known predictive risk factor for
breast cancer. In most cases an extensive family history (greater than 4
relatives in the same biologic line affected) is not present. In some families,
however, inherited factors are clearly the major component of an individual’s
cancer risk. We now know that some of these “cancer families” can be explained
by specific mutations in single cancer susceptibility genes. The recent
isolation of several of these genes associated with a significantly increased
risk of breast/ovarian cancer make it possible to identify families who carry
mutations in these genes. Mutation carriers who have a risk of developing breast
cancer that may exceed 50%, comprise no more than 5% to 10% of all breast cancer
cases.

Hereditary breast cancer is characterized by early age at onset (on average 5-15
years earlier than sporadic cases) bilaterality, vertical transmission through
both maternal and paternal lines, and familial association with tumors of other
organs, particularly the ovary and prostate gland.[1-3]

The clinical evidence of an autosomal dominant inherited predisposition to
breast cancer has been supported by segregation analysis, a statistical genetics
method to determine if a particular trait follows a Mendelian pattern of
inheritance. (For more information on criteria of autosomal dominant
inheritance, refer to the Introduction section of this summary.)

A 1988 study reported the first quantitative evidence that breast cancer
segregated as an autosomal dominant trait in some families.[4] When segregation
analysis was applied to the Cancer and Steroid Hormone (CASH) data set,
goodness-of-fit tests of genetic models provided additional evidence for the
existence of a rare autosomal dominant allele associated with increased
susceptibility to breast cancer.[5]

The search for genes associated with hereditary susceptibility to breast cancer
has been facilitated by the study of large kindreds with multiple affected
individuals, and has led to the identification of several susceptibility genes,
including BRCA1, BRCA2, TP53, and PTEN/MMAC1.
Steve Kramer - 06 Feb 2004 11:40 GMT
The last I heard from a scientist researching prostate cancer is "there
seems to be a link".  Much the same as she said "there seems to be a link"
between red meat and prostate cancer.  They just don't know for sure.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

>
> > > One thing that he does need to do is tell his daughter because her
[quoted text clipped - 28 lines]
> Also, I don't see prostate cancer in a relative as one of the risk factors
> for breast cancer on this rather detailed list:

http://www.ucdmc.ucdavis.edu/ucdhs/health/a-z/06BreastCancer/doc06risks.html

> jimhoney
> not a doctor, just a veteran of PCa
Larry Wheat - 05 Feb 2004 01:53 GMT
Lillian:

   Your husband is in that place that I've been since my diagnosis. I
may be true of all diseases, but it's definitely true of cancer. We feel
different, inferior, damaged and diseased and tend to ostracize
ourselves, and we expect others to treat us that way. A few may treat us
differently than before, must most will respond compassionately.

   Point out to him that his new role is to help men he cares about
become aware of the necessity for frequent PSA tests and DRE's. Most men
know about prostate cancer, of course, and most are able to live in
denial until one of us gets in their faces and forces them to talk about
the reality. Most of us here have forced friends to find out what their
last PSA was, I suspect.

   Stay in touch and encourage your husband to check in here --- he'll
be glad he did.

Larry

> My husband was just diagnosed.  I could probably write a 10 page email
> on what I need advice with, but I will try to keep it simple.
[quoted text clipped - 25 lines]
> Thanks
> Lillian
Lillian - 05 Feb 2004 12:35 GMT
Thanks again to everyone for all of the great responses!  Yesterday I
printed out a couple of responses from people who sent directly to my
email and give them to my husband (Phil) to read on the train on the
way to work.  Last night he asked to sit with me and read online.  I
think he was suprised to see that so many people have "been there done
that".  You may even see him on here in the next couple of weeks!
Steve Kramer - 05 Feb 2004 22:47 GMT
That's great, Lillan!  Reading about it and seeing others who are going
through it and still very much alive years later has got to be a significant
step towards acceptance and educated decisions.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

> Thanks again to everyone for all of the great responses!  Yesterday I
> printed out a couple of responses from people who sent directly to my
> email and give them to my husband (Phil) to read on the train on the
> way to work.  Last night he asked to sit with me and read online.  I
> think he was suprised to see that so many people have "been there done
> that".  You may even see him on here in the next couple of weeks!
Lillian - 07 Feb 2004 20:49 GMT
This is Lillian's husband Phil.

I would like to thank all of you who wrote her.  I am a bit
overwhelmed at this kindness from people I have never even met.

When I was first diagnosed with prostate cancer, it appeared I had two
options.  I could ignore it and have a small numbers of good years
left.  Or I could have the surgery and continue my life as less than a
full man.  Neither option was very attractive to me.

Your responses helped me get a perspective on this and focus on the
reality that there is much more to being a man than erections and
such.  It is more important to me to be a good husband and a good
father and the be the kind of person who is caring and supportive to
others.  Like you all are...

I am having surgery on mid-March.  I know I will have depression and
anxiety.  But I am blessed with having a wonderful wife and family,
and many great friends and co-workers.

Thank you for helping me get through the first week of this.  You
helped me much more than you can know, not from your information but
from the courage and kindness you showed.

Wishing you all good health and tremendous erections :-)

Phil
Steve Kramer - 07 Feb 2004 21:08 GMT
Hey!  Glad to see you here Phil (not that we do not welcome Lillian).  The
first week is the hardest, but your numbers hold promise of a complete cure.
And, that lack of manhood stuff?  Take it from me, you think the worst, then
you find it's a bunch of rubbish.  Sex is in the mind and most couples find
that sex after an RPP is much more satisfying.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

> This is Lillian's husband Phil.
>
[quoted text clipped - 23 lines]
>
> Phil
Philski - 07 Feb 2004 23:31 GMT
Phil,
(And that is a GREAT name IMHO) It is good to hear from you. I joined this
group just recently myself. I had a LOT of fear about the cancer,
operation, and all the peripheral stuff involved. I opted for the Radical
Retropubic Prostatectomy as I am 57 and think I have a lot of good years
left in me. The operation was performed Jan 22nd and I spent 3 days in the
hospital, checking out on the 4th day. I have found the folks here
informative, well-read and have even talked to one such member by phone as
he lives in my area (Meridian, Idaho - near Boise). And I suggest the same
for you. Read up, educate yourself and hang in there! I just had my
catheter taken out yesterday and have been steadily "leaking" since.
Depends seem to do a wonderful job and allowed me a full night's sleep
without wetting the bed and without worry.

The pathology came back just wonderful and I hope I remain cancer-free for
the rest of my life but I do say a goodly number of prayers to God...I
think I need His devine intervention.

Best of luck and keep in touch here.

Philski
(Phil Lewis)

> This is Lillian's husband Phil.
>
[quoted text clipped - 23 lines]
>
> Phil
Leonard Evens - 07 Feb 2004 23:38 GMT
> This is Lillian's husband Phil.
>
[quoted text clipped - 21 lines]
>
> Wishing you all good health and tremendous erections :-)

I'm glad you are feeling better.  But let me reiterate that you can have
a satisfying sex life even if you can't have unaided erections.  In
addition, in your case, you stand a very good chance of recovering
normal erections.

> Phil
MH - 08 Feb 2004 01:48 GMT
> This is Lillian's husband Phil.
>
[quoted text clipped - 21 lines]
>
> Wishing you all good health and tremendous erections :-)

Hi, Phil.....

The first week was really tough for me, too.... and this newsgroup, and
other lists, proved to be great comfort - as well as a great source for
information.  Continue to read all you can about the surgery and the
recovery.  Keep positive! Your numbers sound very good for a complete
recovery!

Take care!
MikeH
jimhoney - 08 Feb 2004 02:22 GMT
> This is Lillian's husband Phil.
>
[quoted text clipped - 23 lines]
>
> Phil

Phil,

In the kindest way, I must point out that you do not have the correct
perspective at all.  I repeat your numbers: PSA 3.1; Gleason 6 (3+3); T1C;
age 55.  This means that you have the best prospects for a full recovery of
anyone I recall ever posting on this newsgroup, to include me.

Don't take my word for it, I'm not a doctor.  Check the Partin Tables.
http://urology.jhu.edu/Partin_tables/  The probability that your cancer is
contained entirely within the prostate gland is 84%!  The probability the
cancer has reached your lymph nodes is, well, whatever statisticians call
zero.  And unless you have some sort of sexual dysfunction already, your
chances of lasting post-op problems in that area are only something like 5%.
And I would have to really dig to find some case of lasting incontinence in
a T1C case at age 55.

Read Dr. Walsh's book.  Plan on resuming your jogging in mid-April, and
expect to feel all better by summer.

jimhoney
not a Pollyanna
standard RRP age 52, cured, no significant aftereffects
jimhoney - 08 Feb 2004 02:30 GMT
> This is Lillian's husband Phil.
>
[quoted text clipped - 23 lines]
>
> Phil

Phil,

In the kindest way, I must point out that you do not have the correct
perspective at all.  I repeat your numbers: PSA 3.1; Gleason 6 (3+3); T1C;
age 55.  This means that you have the best prospects for a full recovery of
anyone I recall ever posting on this newsgroup, to include me.

Don't take my word for it, I'm not a doctor.  Check the Partin Tables.
http://urology.jhu.edu/Partin_tables/  The probability that your cancer is
contained entirely within the prostate gland is 84%!  The probability the
cancer has reached your lymph nodes is, well, whatever statisticians call
zero.  And unless you have some sort of sexual dysfunction already, your
chances of lasting post-op problems in that area are only something like 5%.
And I would have to really dig to find some case of lasting incontinence in
a T1C case at age 55.

Read Dr. Walsh's book.  Plan on resuming your jogging in mid-April, and
expect to feel all better by summer.

jimhoney
not a Pollyanna
standard RRP age 52, cured, no significant aftereffects
Larry Wheat - 10 Feb 2004 01:56 GMT
> This is Lillian's husband Phil.

Good to meet you Phil, but sorry it had to be here.

Your visit was an answer to prayer --- stay in touch and thank your wife
for convincing you to check in.

Larry
 
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