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Thread: Small step for mankind big step for me...

  1. #1
    Top User
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    Small step for mankind big step for me...

    Last night I woke up at around 4.00 and to my big surprise with a solid erection. First time in 9 months. I smiled all day....
    Born in 1962
    PSA 6.5, free PSA 10% Oct 2014
    10 biopsies taken Oct 2014
    6 biopsies G 3+3
    2 biopsies G 3+4
    T1c
    Total of 30 mm cancer of 130 mm biopsy samples
    da Vinci surgery jan 7th 2015, nerves spared on one side and "almost all" on other side
    Catheter out jan 23
    Feb 2nd, one shield/day almost continent
    March 17 2015 PSA<0.1
    Final stage pT2, no external invasion, no vesicles invasion, no lymph node invasion, small positive margin
    August 24 2015 PSA <0.1
    February 18 2016 PSA <0.1
    September 12 2016 PSA <0.05
    April 14 2017 PSE <0.05

  2. #2
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    Happy days are here again!! LOL

    Congratulations. That's certainly one type of inflation that's welcomed.
    First PSA in 2005 at age 55 was 2.5. Slight rise each year until 9/2014 = 5.8. After 14 days of Cipro PSA=6.3 in Oct 2014. Dec 2014 PSA=8.2. June 2015 = 6.9
    Met with urologist Jan 2015, biopsy done 2/2/15, 6 cores left side, 6 cores right side, 3 cores transition zone. Gleason 6 (3+3) in both sides, transition zone negative. Bone scan and CT scans negative.
    Second opinion of biopsy by Cleveland Clinic: Left side, Gleason 3+3, one of three cores submitted, 25%, 3.0 mm. Right side, Gleason 3+3, two of three cores submitted, 100%, 50%, 5.0 mm,. Perineural invasion identified. Transition zone, benign prostatic tissue.
    DaVinci RALP on 9/9/2015 at the Cleveland Clinic. Final pathology: Gleason upgraded to 7 (3+4), 13 lymph nodes, seminal vesicles, and surrounding fatty tissue all negative. Positive surgical margin at urethral resection.
    Final staging pT3a

  3. #3
    Senior User Ron_G's Avatar
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    Hey, put that thing away! LOL!!!
    DOB: 8/1963--Great-Grandfather/Uncle had PC
    9/13 PSA 4.85, 2/14 PSA 6.7, TRUS Bx 12 core-neg, 6/14 PSA 4.8, 12/14 PSA 5.9, PCA3: 38, 1/15 PSA 5.4 (switched docs to JH), 3/15 PSA 5.8/fPSA 17.4/PHI 28.4, 3/15 3T MRI/Fusion-Guided Bx @ Johns Hopkins, 2/14 cores pos, bilateral, <5% involvement, Gleason 6, Open RP: 8/10/2015 w/ Dr. Carter @ JH

    Final Pathology:
    LN-, SV-, Margins-, EPE-
    Tumor Extent: Moderate, organ confined
    Gleason upstaged to 3+4=7 (2% pattern 4)
    Additional Findings: HGPIN
    pT2cNO (Stage IIB)
    PSA 11/2015 <0.1, 05/2016 <0.1, 09/2016 <.02 (different lab)

  4. #4
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    Neil Armstrong is sure to be proud!!!
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = Gleason 7 (3+4) and 5 = Gleason 6
    March '12: Robotic RP: Left Positive Margins + EPEs. MD waited in surgery for preliminary Path Report then excised substantial left adjacent tissue(s) down to negative margins and placed 2 Ti clips for SR guidance, if needed in future.
    Pathology: Gleason (3+4) pT3A pNO pMX pRO / Prostate Size = 32 grams; Tumor = Bilateral; 20% / Perineural invasion: present
    3 month Post Op standard PSA = <0.1 ng/ml
    1st uPSA at 7 months Post Op = 0.018 ng/ml uPSA remains stable: = 0.020 ng/ml "Mean (+/-) STD" = 0.002 at 60 Months Post Op: (15 uPSAs: Range 0.017 - 0.024) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 98%)
    ED = present

  5. #5
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    Any trouble typing one-handed?
    DD

  6. #6
    Wilde, thats great news. Keep it up!!!!!!!!!!!!! Nothing like a good boner in the morning.
    Diagnosed at age 64 (in November, 2014), PSA 4.32
    Nov 2014 BX 3 of 12 cores positive original pathology G6 10%, G6 20%, second biopsy, 1st negative
    G8 (3+5), 70%. Johns Hopkins second opinion, G3+5=8 downgraded to 3+3=6 @80%
    Surgery with Dr Ash Tewari Jan 6, 2015
    Post surgical pathology, stage T2c, bilateral disease, upstaged to G7(3+4)
    5% of Prostate involved in Tumor
    Organ confined, negative Margins, negative SV, negative lymph nodes (9) PNI positive
    PSA 2/15 <.02, 4/15<.02, 7/15<.02, 10/15 0.00 (different lab), 1/16 0.00, 6/16 <.02, 1.17, .02 (uh-oh), 2/17 .02.

  7. #7
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    Thanks guys, Im smiling even more when I read your replies.
    Born in 1962
    PSA 6.5, free PSA 10% Oct 2014
    10 biopsies taken Oct 2014
    6 biopsies G 3+3
    2 biopsies G 3+4
    T1c
    Total of 30 mm cancer of 130 mm biopsy samples
    da Vinci surgery jan 7th 2015, nerves spared on one side and "almost all" on other side
    Catheter out jan 23
    Feb 2nd, one shield/day almost continent
    March 17 2015 PSA<0.1
    Final stage pT2, no external invasion, no vesicles invasion, no lymph node invasion, small positive margin
    August 24 2015 PSA <0.1
    February 18 2016 PSA <0.1
    September 12 2016 PSA <0.05
    April 14 2017 PSE <0.05

  8. #8
    Moderator Top User HighlanderCFH's Avatar
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    Quote Originally Posted by Michael F View Post
    Neil Armstrong is sure to be proud!!!
    He would have been prouder than you might realize. This has nothing to do with prostate cancer, but have you ever heard about a certain, mysterious thing he said on the Moon and what it referred to?
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Five annual post-op exams 2012 through 2016: PSA <0.1
    Semi-firm erections 5 years post-op whenever the moon turns blue.
    NOTE: ED caused by BPH, not the surgery.

  9. #9
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    Chuck: If I could "Edit," I would go back and add: "Good luck Mr Wilde..!!!"
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = Gleason 7 (3+4) and 5 = Gleason 6
    March '12: Robotic RP: Left Positive Margins + EPEs. MD waited in surgery for preliminary Path Report then excised substantial left adjacent tissue(s) down to negative margins and placed 2 Ti clips for SR guidance, if needed in future.
    Pathology: Gleason (3+4) pT3A pNO pMX pRO / Prostate Size = 32 grams; Tumor = Bilateral; 20% / Perineural invasion: present
    3 month Post Op standard PSA = <0.1 ng/ml
    1st uPSA at 7 months Post Op = 0.018 ng/ml uPSA remains stable: = 0.020 ng/ml "Mean (+/-) STD" = 0.002 at 60 Months Post Op: (15 uPSAs: Range 0.017 - 0.024) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 98%)
    ED = present

  10. #10
    Moderator Top User HighlanderCFH's Avatar
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    Highland, Indiana
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    I could probably edit it for you, but Mr. Armstrong's neighbor might get mad. LOL
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Five annual post-op exams 2012 through 2016: PSA <0.1
    Semi-firm erections 5 years post-op whenever the moon turns blue.
    NOTE: ED caused by BPH, not the surgery.

 

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