PSA

Beverley this more than good, it's brilliant. I am so pleased for you both. Definitely time to celebrate.

Hi Bev

Looks ok,  after surgery PSA should be less than .1

Well .02  is , so good news.

Obviously needs to stay there so fingers crossed for next PSA.

Best wishes

Steve 

1. Thank you so much. Hopefully we will have a good report from the surgeon next week xx

Thank you. Early days for us on this journey but as you say PSA needs to stay at this level

Hello Beverlily 

That's not 

Beverlily said:

a good result 

It's FANTASTIC. - You should be cracking open the Christmas bottles (keep to the recommended limits) and having a celebration.

He's still on his journey to full recovery but that's a cracking start to it and as you have posted elsewhere all is good.

Best wishes to both of you.

Brian .

Thank you Brian. As we are new to these PSA  readings we weren’t quite sure if it was a good result or not 6weeks post op. Seems that it is. I will update you all with surgeons full report next Friday and thank you for your well wishes 

Beverley

Hi,

The current result is excellent, I have been having regular PSA checks since 2014, when it was similar; it has taken ten years to creep up to 5.2. -  my Urologist says he would not be concerned unless/ until it reached double figures - I know that we are all different but do  get on and enjoy the life you have been given !

Quick update on my husbands pathology after his prostate removal.

Good and bad news.

On examination and subsequent pathology report his disease was upgraded from T2 N0 M0 to T3a N0 M0

We were very disappointed to hear this news although we knew that this could and often does happen but after weeks of being told before surgery,that it was contained it had actually broken through the capsule and there was bladder neck involvement found

However his PSA was <0.02 and the surgeon said he had removed the prostate with clear margins. His Gleason score remains at 3+4=7 Grade group 2

Three monthly PSA tests going forward no other treatment as of yet but I’m worried.

Should the consultant be taking a belt and braces approach and offer him HT or RT or both or it it too early to judge. We should have asked him that question really but the phone consultation was so quick and he didn’t seem concerned. We were so shocked to hear of the progression of the disease that we went numb to be honest and it’s taken a few weeks to process it all

What are your thoughts, can he be cured with a T3a diagnosis?

Beverley

Hello Beverley

The definition of T3a (I should know I am one) is "The cancer has broken through the outer layer of the Prostate but has not spread to the seminal vesicles".

Personal opinion and of course I am not a Doctor is that with the clear margins, a low PSA and the Gleason score has remained the same (this will have been checked at the pathology). The consultant is confident that anything found on the bladder neck is not a risk (low PSA reading!) and therefore no further treatment is required at this stage.

He's on 3 monthly PSA's so I think they would take further action if there was a substantial rise in the PSA  but 0.02 is something I haven't got to on 24 months of Hormone therapy!!!. I would think the consultant wouldn't want to put him through HT/RT if the PSA was going to remain low and under control.

Yes - I am a T3aNoM0 and I am on a "curative treatment path".

It's only my opinion - others may differ - you can always give the Consultant a ring and tell him of your worries.

I hope this helps. don't let it get in the way of Christmas and the New Year.

Best wishes - Brian.

Thank you Brian for your quick response and as ever your reassuring words.

Im sure you are correct in what you say but my mind has gone riot imagining all sorts of awful scenarios. I think I’m so used to getting bad news now that I’m forgetting to focus on the good

As ever I’ll keep you updated on his next PSA result which will be in February. He remains very well and his continence after the op is almost back to normal as the surgeon managed to spare some nerves. ED around 30% but early days for that.

Have a great Christmas Brian and thank you for all you do for all of us on this site. Your experience and expertise is highly valued

Regards

Beverley