11 month update

lesjanes

I thought I would provide an update since I have been quiet for a while. (I feel I owe all of you who helped answer my questions earlier)

Brief recap ...gleason 3+4 1/5/24...gleason 4+3 at time of surgery 7/11/24...Nerve sparing surgery deemed successful.

Continence returned at 2 months. But I ended up having a stricture, which caused spraying. Dr dialated my urethra twice and I was able to dialate at home 3 more times and now I am fine peeing.

Erections have not returned, but the desire has. Viagra gets me about 75% which is not enough for intercourse. Dr indicated it could take 12 ro 18 months for erections to return. We'll see. Difficult to imagine erections returning, but I felt incontinence wouldn't get better either.

Finally, just got my PSA test results today...<.004. So that is good news 11 months post op. A bit anxious waiting for results. I have had PSA tested every 3 months. I'll see if my Dr recommends every 6 months yet.

What is everyone else's testing frequency?

Thanks to all you who have helped me along the way!

Les 4+3

Marlon

Good news Les. I was 4+3 as well, and now just short of 11 months post surgery. My latest quarterly PSA results last week was another <.01, so the doctor said I could go to every 6 months.

lesjanes

Good to hear Marlon! Let's keep it up. (Oh, thats another issue...lol)

Wheel

That is terrific! Without your hiccup of the structure, I had a blood clot after surgery, it seems everything is well, as I feel. Happy to hear your update.

lesjanes

https://csn.cancer.org/discussion/comment/1722959#Comment_1722959

Thanks !

lesjanes

My 1 year checkup was 2 weeks ago. PSA still undectable. So that is great.

No progress on erections though. Had sex today (8/20/25). Well, not intercourse. Viagra did not help much this time. Almost feel like I've regressed. But Dr said that I should still see gradual improvement.

I'll take the undectable PSA though.

Old Salt

lesjanes wrote

I'll take the undetectable PSA though.

You are a smart man 😀

VascodaGama

Well, it takes time to move it from 6 to 4 o'clock direction. Congratulations for the PSA remission level.

JackWest

https://csn.cancer.org/discussion/comment/1724194#Comment_1724194

Great news on the undetectable!! Me also, and for some years, Sex is now in many new ways. I appreciate that I'm here, we are here to do it. Sharing love is the best way.

lesjanes

Thanks for the kind words Jack. Glad you are still undetectable. And still able to enjoying sex.

Best,

Les