Need some advice-Update

Thanks for the update. He need now a period to recuperate before the image exams. I hope the PCa issue is looked well and that he chooses something that will not prejudice the outcome of the TURP. To much cutting at the area of the sphincter can lead to permanent incontinence.

Best wishes and luck in his journey.

VG 

Ramaka

A quick google suggests that their may be a hereditary link. I would suggest you get some medical advice and discuss when and how often you should start testing.

C

ramaka said:

1 month Post TURP Update

Hi All:

Just wanted to give an update on my dad's PCa post TURP-Dad is relieved and feeling good post TURP. He is able to pass urine without any pain and can now hold the urge, but not as well as before PCa. He had an MRI and they found that the prostate is hugging a part of rectum and so they cannot proceed with surgery. So has been given another medication (sorry forget the name!) and re do the MRI again after a month to see if the prosstate has let go of the rectum. If it has then they will go ahead with the surgery OR else they will start with radiation therapy. On the positive side, his PSA is 1.78 post 3 HT of Firmagon. As always thanks for the read and wishing everyone only the best!

PS: Quick ?, sorry if this sounds a bit shallow, but since my dad has PCa, is it guaranteed that I too will have PCa (hereditary by nature)? Should I be proactive and what should I ask the Dr. during my next physical? I will be 40 in 6 months, so should I have a PSA done to act as a baseline for further down the line?

Considering your background, you should have an annual PSA test to establish a base line and a Digital Rectal Exam as well.

Ramaka, best of luck to you and your father.  I always think that keeping a positive atitude and accepting "what is" is the best course.  Also, the fake food industry is toxic today, and diet plays a very important long term part in cancer, both in if you get it at all and in treatment.  Fasting and juice cleansing can be of help in prevention, not only  of cancer, but of many of the maladies of today.   I owe a lot to India, home of my Master, Osho, and the Osho Meditation Resort in Pune. Bon Voyage, Love, Swami Rakendra

ramaka said:

Update-29AUG2017

Hi All:

Just wanted to give another update w.r.t. my dad's PCa journey. He is doing good post his TURP. He is scheduled for a "prostatectomy with bilateral extended pelvic lymphadeectomy +/- temporary colostomy" on 8SEP2017. This was suggested by his surgeon as the best route to battle his PCa. My dad seems to be completely leaning towards surgery and myself on the other hand, having read up on stuff here am not so sure, but will support him unconditionally on his decision.

Thank you for your time and wishing only the best to you and your family!

Avi. 

Surgery will not suppress the cancer totally but most of it. Your dad will need adjuvant radiation after heeling (a period over 4 months). His case is complicated for the prolonged urinary problem so that surgery may be his best shot. I wonder about the need of a colostomy. Are they cutting the collon?

What have they found on the image studies that were not seen in the pet Scan?

Regarding your previous inquire on your risks with pca, you have 4 folds higher risk than the common folk. My son also started his prevention at his 40 years old every two years. Now he had additional testing apart from the traditional PSA and free PSA.

Good luck in your dad's surgery.

VG

ramaka said:

Hi VG:

Hi VG:

Thanks again for your time and reply. I am sorry that your replies are being censored here but I am glad that inspite of that you still provide your very helpdul advise. I hope things turn around and you are back at full swing.

Thank you,

Avi.

Ramaka,

I agree exactly with VG regarding your dad.  The lymph node involvement and other factors prove he needs secondary treatment.

Besides surgery, the only other curative form of PCa treatment is radiation.  They will give him time to heal first, but the sooner radiation is begun the better.  Insist upon it.

max

Unfortunately the info you share above is not good. The report on the findings of cancer at the lymph nodes which needs further treatment, classify your dad's pathological stage as pT3a pN1. The spread in the lymph nodes (only 4 out of 40) judges the disease as localized therefore the adjuvant therapy proposed by his doctor (35 session of RT), but the timing for this intervention and the field of attack should be carefully planned, in particular in regards to the numerous dissection of lymph nodes which may have impaired the area's lymphatic capabilities. Proper healing before any radiation in the area is recommendable. Your dad is risking lymphedema (fluid retention and swelling) placing your dad at high risk for serious abdominal infection. RT plus HT may be recommendable to your dad's situation, starting with HT. Discuss the matter with his doctor. I am sorry for the short reply but my comments put your thread in risk of being deleted.

Best wishes,

VG