results not good

Well yesterday the Urologist Dr.Ritchie, called us at home at 5:07pm,
which was after hours. So I knew this was not good. He insisted to
see or talk to Brian about the results this week or possibly the next
day. But definatly before we saw our GP, Dr.Grobler. I told him Brian
was not home from work till after 6pm. At which time he stated he
would call back after 6pm.

Well the way he sounded, extra calm and concerned I could read
exactly what was up. I told Brian when he gor home that the Dr was
calling with the results he was really nevious and upset. He knew Drs
do not call with good news usually.

Well at 7:15pm Dr.Ritchie phoned and Brian and I both were on the
line. He stated "well as you know with you being so young and your
PSA being 5.09, a free PSA of 8.45% and an abnormal DRE, we took 12
biospy samples because of the concern of Prostate cancer with the
family history. Out of the 12, 2 came back positive for cancer. They
were a Gleason Score 6. Left medial base 4%. Right medial base 15%.
And Right Apex highgrade 10 diferentiated. Which means not cancer
yet but will turn into cancer in the near future."

So it was not news we wanted. But no one ever wants that kind of
news. He told us our options: watchful waiting, radiation and
surgery. We told him that watchful waiting was not and never will be
an option for us. Not with his family history of all men having this.
And we do not want to go through PSA tests and Biopsies and the
waiting game for results. It is just not in our books. And as far as
radiation, it was not something we were looking at. We have read alot
and studied alot with all the options. Brian then stated he wants
surgery. As he said, just get it out so I do not have to worry and
can go on with life.

Dr. Ritchie is faxing a copy of the results and a letter to our GP
and we see him today after 5:30pm. He is going to refer us to
Dr.Drachenburg an Urologic Oncologist and Laparoscopist. He is with
the Prostate center at the cancer care center in winnipeg and is one
of the best and specialises in this.

Anyways after all this talk with the dr, Brian was very upset and
kept saying, "it was suppose to come back negative." I just held
him, told him I love him, and is not alone. That I will be there all
the way. He then said, "my manhood and dignaty are out the door. I
will lose sex and bladder control." I then told him that with his
age and the dr being so good from what I hear, he will be fine. I
told him yes it will be rough and a major change on him sexually. But
sex was not important to me. I just want him alive. As far as
control, I am sure he will be ok in that department as well.

After he shed alot of tears and went though anger, fear, and denyal,
he went to bed. i went to the bathroom. All night I had a migraine
and was on the verge of vomiting. That is how my body handles stress.

So one of his questions other then knowing he is having surgery,
was "now what is the next step?" I am assuming he means where does
he go now?

This is so much to handle right now

We have looked at radiation and the only problem is that do have a
chance with bladder and ED problems. But that is just not the reason
for the final decission on surgery., It is because we were told after
radiation because of the damage to tissues and nerves, you can not
have surgery later. where as with surgery there are options after
with radiation and others.

And I know it may sound crazy but, I can never feel it is gone if it
is there. I don't know. I have had all my reproductive organs
removed for cysts that I know could later turn. I did not want to
take the chance. Was told surgery is 85 to 98% cure and others were
low.

Right now he is in alot of pain and with alot of investigation and
reseach and talking to other men, surgery just seems better
especially with his age. was even told his age will help with the
side effects. Making them less. He is very potent so that is also
in his favor.

So we are both still shocked. We see Dr. Ann Katz tomorrow. She is
a prostate specialist that helps with the inconstance and impotence.
I was told she can perscribe a med he can take before the surgery
that increases blood flow to the penis. And this will be a help.

We also see a Dr. Drachenburg who is a prostate doctor, who has been
doing nerve sparing for years and Brian is a candidate for it. So
hoping he will have alot on his side and have next to no issues after.

Angelica