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Thread: Were your PCa treatment results what you expected?

  1. #71
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Location
    Highland, Indiana
    Posts
    5,892
    Would you be able to travel to the Mayo Clinic in Arizona? It does not sound as if the VA doctors -- or that twit at the university hospital -- know what planet they are standing on.

    Mayo would be lightyears ahead of them and might be the place to go, if this is possible for you.
    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.

  2. #72
    Senior User
    Join Date
    Apr 2017
    Location
    SoFL
    Posts
    265
    Quote Originally Posted by HighlanderCFH View Post
    Would you be able to travel to the Mayo Clinic in Arizona? It does not sound as if the VA doctors -- or that twit at the university hospital -- know what planet they are standing on.

    Mayo would be lightyears ahead of them and might be the place to go, if this is possible for you.
    That is a fine suggestion, that I totally endorse Brownie.

    The well meaning, but behind the times, VA urologists here in SoFL did me a MAJOR disservice. Do not rely on the VA if at all possible.

    Good luck!
    70 @ Dx
    PSA's over past 17 years - gradual increase from 1.0 to 3.0
    TURP 2/16, 24 g removed, 35 g remaining
    G3+4 discovered
    3T MRI 5/16
    PI-RADS 5 Lesion in Right Apical Posterior
    MRI fusion guided biopsy 6/16
    14 cores; four G 3+3, one G3+4, Grade T1b
    CIPRO antibiotic = C. Diff infection 7/16
    Cured with Vanco for 14 days
    Second 3T MRI 1/17
    Worsened bulging of posterior capsule
    Oncotype DX GPS 3/17, LFP risk 63%, Likelihood of Low
    Grade Disease 81%, Likelihood of Organ Confined 80%
    RALP 7/13 Dr. Gonzaglo @ Univ of Miami
    G3+4 Confirmed, Organ confined
    pT2c pNO pMn/a Grade 2
    PSA 0.32 on 9/13/2017
    Dry so far

 

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