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Post daVinci borders NOT negative

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Prostate Cancer
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Posted 9/14/2008 5:52 PM (GMT 0)
Sounds like you are the lucky ones as this is the best surgery for the prostate Cancer...my husband had this surgery three weeks ago....still wears pads as he is leaking urine some..I know this is to be expected.... Dr recommended kegal exercises. Sex...have not even thought of that yet...should we be experimenting??? He has lost weight but feels "pretty good". My concern is that his final report from surgery had all negative margins but one...we were told some Docs recommend radiation after about 5 weeks of recovery from surgery if any positive borders......but many say NO with only one positive border just follow you PSA results every 3 months for the first year. ANY ONE WITH SOME SUGGESTIONS OR EXPERIENCE with this one? Have been looking for latest research but hard to find. mad hanks!
Posted 9/14/2008 7:51 PM (GMT 0)
I had LRP about eight months ago with one positive margin.  I have had 2 PSA tests since and am undetectable.  Sometimes a positive margin can be caused by  the handling of the prostate after it is removed.  In some cases the cells will die without the prostate.  I would wait until the first PSA before making any decisions.  If you have an e-mail address, I will forward an article to you by Dr. Patrick Walsh concerning positive margins.

Posted 9/14/2008 8:08 PM (GMT 0)
I have studied this quite a bit and chose to add adjuvant radiation and hormone therapy. I had positive margins and bilateral seminal vesicle invasion. For me after my da Vinci it was a mess down there. I found solid studies that show about an 11% improvement in preventing a biochemical relapse. We were able to get to undetectable and hold it now for 18 months. I have my every 4 month tests this Wednesday followed by a Lupron shot. You have remember to do something at all times. Stay Positive! My experience with this, and my membership is several advocacy groups, and well as forums like this one (actually this one is very elite with the very best members), has shown me that Stage III patients can do quite well for a long time. I know quite a few guys who are 14 years post surgery and still undetectable! I have seen guys relapse but keep it controlled for a long time.

If you can, post more information ~ Age, Gleason, Pre-Operative PSA. Look at my numbers below. Me and my Ruthie are still having fun, and enjoying the good things.

Tony
Posted 9/15/2008 3:29 PM (GMT 0)
Sorry to hear the path report was not negative, however, there are still so many options. Try to keep positive, as Tony says. :) My father had a "focally" positive margin, which if he would not have had the positive lymph node, he would have waited on radiation until there was a rise in his PSA. He mentally and physically would have preferred to wait, not because any study suggested waiting. He did undergo radiation and did extremely well. There are a lot of great threads on positive margins on this site. If you enter "postive margins" in the google search box, you will find them. Keep us posted.
Posted 9/17/2008 8:11 PM (GMT 0)
You need to look at all of your other numbers and figure that in to the equation. My husband had one area that showed a positive margin, which was a surprise because his biopsy didn't show much cancer. His number remained the same, and so we decided to do the every 3 month bit. We are approaching 2 years with still undetectable PSAs.

becky
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