My last post here was a bit negative as my PSA test and histology report were a bit worrying. I have had time to process and a being as positive as I can but still have a nagging feeling in the back of my head. The consultant letter stated:
Final histology: grade group 5 (4+5=9), pT3b N0 M0, margins negative
PSA 14/04/2025 = 0.04.
Seeing pT3b is concerning. And then in his notes:
We discussed that you had high volume high grade disease and at this stage thankfully with negative margins and nodes we will pursue PSA monitoring however, if your PSA were to rise in the future then we would need to consider salvage therapy.
The “however” also feels concerning. I know there is nothing I can do and just need to wait for the PSA monitoring, but seeing other T3a and T3b stories here makes me worry as I went into surgery classed as T2a from the MRI scan. Has anyone else experienced a move in classification after surgery and histology?
However… On the big plus side, 9 weeks after catheter removal and I am on day 5 of being completely pad free. No leaks! Feeling very liberated and happy about that!!
Hello Fzh2p0
I was a Gleason 7 - I had a TURP operation and the "chips" from my Prostate went off for examination.
I was then "upgraded" to a Gleason 9 - Thank you very much!! 
!!
You are doing well - dry and as my friend Alpine Wanderer always says "histology is king" and your surgeon said
margins negative
Those two words are magic - he's got everything!!
Carry on - you are doing so well - you may well have been upgraded BUT the basta*d is sat on the surgery side in a silver dish - not going "walkabout" - happy days.
You should be fine.
Best wishes - Brian.
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