Jul 08, 2014 - 8:40 am
I had a radical prostatectomy with the Da Vinci robot in early February of this year. So far I have taken three PSA tests at 4, 8, and 12 weeks which scored: 0.1, 0.1, 0.2. From what I have seen on this site, this is not encouraging and is far wide of the zero "cure" that I was seeking with the operation. My prostate was extremely large, about 120 g which is about three times normal size. (The record at the hospital was 200 g.)
My doctor says that some "benign tissue" may have been left behind due to the difficulty in removal of such a large prostate and he wants to see if my PSA will stabilize. I will take another PSA test in September, but I am not hopeful that the PSA will go down. If it goes up, I am fairly certain that I will be facing SRT early in the fall.
I do not regret the surgery. In fact, the doctors would not recommend radiation for initial treatment due to the size of the gland. Now, I hope, the radiation may stomp the bandit for good.
Has anyone else out there experienced the "giant prostate" phenomenon and its complications?
My stats are: Negative DRE, 7 postive cores (out of 21 samples taken with a transurethal biopsy), initial Gleason 7 was upgraded to Gleason 8 on second opinion. Path report revealed an array of hot spots with one Gleason 7 and one Gleason 8. Seminal vesicles and lymph nodes were clear. Vascular bundle on the right was removed, but bundle on the left was spared. One surgical margin "was too close to call".