50 Hours Out of Surgery

BT15

As favorable intermediate risk, yes AS is an option. My diagnosis includes:

- Random biopsy. Only 1 of 12 cores came back positive. 20% of the core was identified as tumor. The biopsy was reviewed 2x. One by OC Urology showing Gleason 3+4=7 with only 10% Gleason 4 and the other by City of Hope also showing Gleason 3+4=7 but with 30% Gleason 4.

- PSA on 5/14/24 was 5.1, PSA on 4/24/24 was 4.7

- PSA Density was .22 (5.1 / 23 grams prostate weight)

- MRI showed 2 small spots. One was PIRADS 4, and the other was PIRADS 3.

- T1C

• Low risk Decipher score of 0.34

- I am also going to get another PSA test at the end of August (was told to wait 3 months after the biopsy).

BT15

Yes I am a candidate for AS.

lesjanes

https://csn.cancer.org/discussion/comment/1717205#Comment_1717205

Very very simlar numbers to me when I had my biospy in February. I was a AS candidate but decided to just get it out and had robitic surgery 7/11. My recovery has been fine. No pain after 4 to 5 days aside from stomach muscle soreness. I go through about 4 pads a day and never have any issues at night time.

I read the biospy report after the surgery and my gleason went from 3+4=7 to 4+3=7 since February (about 5 months).

The move reaffirmed my decision to have the prostate removed and not wait. But that is just me.

BT15

https://csn.cancer.org/discussion/comment/1717212#Comment_1717212

Wow- sounds like you definitely did the right thing having surgery and not waiting. What was your biopsy like- how many cores were positive? Also, what was your PSA?

lesjanes

1 out of 14 cores came out positive. My PSA was 5.4, which had gradually increased.

But it was my free % PSA that alerted my urologist initially. My free PSA % dropped below 10%. That was the trigger to do the initial biopsy.

BT15

Hey guys- just wanted to get a quick update on how you’re doing and how recovery is going. I’m wishing the best for you. I’m scheduled for surgery 9/16/24.
Thanks
-BT

lesjanes

7 weeks out and feeling normal physically. I am 68 and active, just played racquetball this morning .

Still incontinent, more of slow leaky faucet. But not leaking all the time. I use 3 to 4 shields a day. I no longer need pads. No erections yet.

My biggest issue is not knowing which direction my pee will go. Sometimes it sprays, sometimes left, or right and sometimes I can for a distrance of up to 7 feet .

But overall recovery has been good, rather text book

BT15

https://csn.cancer.org/discussion/comment/1717616#Comment_1717616

Glad to hear recovery has been good for you. I don’t know how serious of a racquetball ball player you are. But that can be a strenuous sport- so that’s great you’re already playing it again. Are you as good as you were before surgery?

lesjanes

About as good. Reaching for high shots did stretch my stomach muscles a bit. But i needed that

But after about 6 weeks of "convalescing, my legs are sore and tired. But its a good feeling

Wheel

https://csn.cancer.org/discussion/comment/1716563#Comment_1716563

Wheel

Marlon, I too the morning my catheter was to be removed had to go first to the Hospital Imaging Dept. to have fluoroscopy imaging done, where they image you after as described above having saline flushed into your bladder to fill it to a certain amount. My Surgeon’s order said no more than 225 to 250 ml to go in. It was not left up to me to reach an uncomfortable level. This is to check that your plumbing work does not leak in any manner after having your urethra reattached to the bladder after they sever it during surgery. I was told of that in my list of post surgical appointments thought it was routine, but if you did not have it done, again it shows how different surgeon’s approach things differently.