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Thread: Question: Can prostate surgery affect Kidney function?

  1. #1
    Experienced User
    Join Date
    Jul 2018
    Posts
    84

    Question: Can prostate surgery affect Kidney function?

    I had RP, five months later now have kidney disease. On one hand, being that I have long had high blood pressure and adult onset diabetes (both under control for a couple of decades) perhaps this was inevitable. On the other, the fact that my Kidney numbers were normal before the surgery and now have quickly dropped significantly into moderately chronic disease makes we wonder.

    Although I seem to urinate okay, I wonder if the surgery could have done something to urine flow and if it could affect the kidneys. Any thoughts?
    Treatment Summary
    Cancer Type: Prostate cancer
    Diagnosis Date: 8/2/18
    PSA at Diagnosis: 10.4
    Gleason Score: 4+4

    Clinical Stage:
    T2a - <1/2 of 1 lobe
    Size (mm) 15mm

    Pathologic Stage, radical prostatectomy performed:
    T2c - bilat
    No regional lymph node metastasis (24 lymph nodes examined)
    SEMINAL VESICLE AND SURGICAL MARGINS NEGATIVE FOR TUMOR
    Gleason Score: 4+3 (4 is 90%)
    Perineural Invasion on one side.
    Organ Contained

    Treatment Completed, one nerve saved.

    Robot assisted laparoscopic prostatectomy surgery date: 10/9/18

  2. #2
    Senior User
    Join Date
    Jan 2019
    Posts
    475
    Urine flows from the kidney to the bladder then out. Not at all likely.
    DOB 5/1957

    PSA - 11/2010=1.9, 6/12=2.3, 12/13=2.19, 12/14=2.64, 3/17=5.29, 3/17=3.91, 6/17=3.47, 12/17=4.50, 12/17=3.80, free PSA low risk (local (Uro, “My opinion you don’t have cancer), 8/18=5.13, 10/18=5.1, 10/19 ISO PSA 56% risk cancer. All DREs negative.

    DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM <5%, Right side negative, (Uro opinion “This has been going on for a year”.... ah, more like 2 years ). Bone scan/CT negative

    2/25/19 R-LESS (Robotic Laparoendoscopic Single Site Surgery) outpatient Cleveland Clinic,

    3/6/19. Pathology - Grade Group 4 with Intraductal Carinoma
    T3aNO, GS8, 21 mm unifocal tumor 10%. -7 Nodes, - SV, - Margins, - PNI,
    - bladder neck neg., +LVI, + EPE non focal apex/mid lateral 1mm max extension, Cribriform pattern present. Decipher .86 High Risk.

    PSA 3/27/19 .03. (29 days)
    4/25/19 <.03. (58 days)
    5/25/19 <.02. (88 days)

    ADT - 6/3/19
    ART - 8/5/19

 

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