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RP on 11/10/11

hunter49
Posts: 204
Joined: Oct 2011

Well had my robotic RP on Thursday and came home yesterday. Lower abdommin is very sore and the cath is a pain but other than that ok. Went for a walk this morning not far but nice on a cool fall morning. Have not taken any pain meds since the one I took Thursday night. The doctor said margins were clean and appears to be contained. Final pathology will tell all and lymph nodes. Said felt good and not large. Hope for the best. Must admit the last 30 minute waiting to go into OR was a hell but a shot of something made me relax.

Beau2
Posts: 241
Joined: Sep 2010

Hey Hunter,

Glad you are on the other side of the RP with good results. Best wishes for a life of zeros (PSA).

The Nev
Posts: 50
Joined: Sep 2009

Wish you the best in your recovery hope all goes well. Now the wait for those wonderful zero's

mwozney
Posts: 5
Joined: Nov 2011

My husband just had a RP on 11/2/11. They did not take lymph nodes....any idea why?

hunter49
Posts: 204
Joined: Oct 2011

maybe because he was very low risk. What was his Gleason and PSA pre surgery??

mwozney
Posts: 5
Joined: Nov 2011

Prior to surgery he was Gleason 6 with PSA 4.82, staged T1c. Post surgery pathology indicates positive margins, still Gleason 6 (I question that) and stage T2c. I'm concerned the surgeon should have taken the lymph nodes knowing now what he knows (more serious).

Kongo's picture
Kongo
Posts: 1167
Joined: Mar 2010

Hindsight is always 20/20 but I understand your concerns with positive margins. Did you by chance have a second opinion on the initial biopsy before surgery. Also, could you share more of the initial diagnosis? Why did you feel surgery was your best option?

Best to you and welcome to the board.

K

lewvino's picture
lewvino
Posts: 1006
Joined: May 2009

I am two years post davinci Gleason 7 (4+3) and also have a positive margin. They will most likely test your husbands psa more frequently. I started every 3 months, then 6 months and have now been moved to yearly check.

If you do not have it get and read Dr. Patrick Walsh's guide on surviving prostate cancer.
He has some excellent remarks on positive margins. In his research he has seen no difference in a wait and see approach with the positive margin or starting follow up radiation immediately.

Best wishes and try not to worry.

lewvino

hunter49
Posts: 204
Joined: Oct 2011

I just got my results from the final Biopsy. My initial biopsy I was a 3+4 with only one side showing cancer. Now there was a a second nodule on the other side and a 4+3. However, this was from a different lab that tends to over compenste. That said I went from a T1c to a T2c. I had no prostatic extension clean margin and clean lymph nodes and no vascular invasion. I was PNI posative as indicated by my biopsy. Yes there should have been lymph glands taken. They can go back in to do it. I would question the doctor and request it. Especially since he had posative margins.

hunter49
Posts: 204
Joined: Oct 2011

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hunter49
Posts: 204
Joined: Oct 2011

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