Newly Diagnosed Gleason 6

GC
It does feel good when you are feeling confident that this decision makes the most sense to YOU! I had my RALP on Tuesday by Dr Tewari at Mt Sinai in Manhattan. I was very happy to have it done by him...win lose or draw. Before my own personal analysis of my situation as I previously detailed on the following thread, https://www.healingwell.com/community/default.aspx?f=35&m=284539[url] about what I described as my WILDCARDS, I would have chosen AS in the proverbial New York Minute. But in the end, I was very satisfied in my decision to go with RALP and Tewari. Best of luck to you!!!! See you on the other side...you'll have a lot of friends there!!!!

Glad to hear that things are going well for you. Best of luck with your path report. I hope that in about six weeks, you get to join the zero club.

Be well!

Welcome to the other side! You "sound" great! You did things the right way for you and now have much to feel good about, to offset any soreness. Happy Holidays, coming up!

Mikey

Hey GC, thanks for keeping us posted and welcome to the other side. You said "I am so glad i was able to have Dr Samadi treat me. He lives up to all the hype and then some." Yep, you picked hands-down one of the very best and it sounds like all is going very well post-op. Be positive and have confidence that you did a very high level of due-diligence with respect to researching the beast as well as options and practitioners, chose one of the best, and are now moving down the path. Now, get ready to enjoy your holidays.

Continued best to you!

My husband was diagnosed last Monday. Age 59, Gleason 6 and nothing found on the DRE. His PSA went from 1.87 in 5/12, to 3.46 in 5/13 and 4.44 in 9/13. He has a significant family history in that a brother and two first cousins from the same side of the family have had procedures.

Firstly, I want to thank ALL of you. Our meeting with the doctor is this afternoon and we were both of the "get this out of me" mindset. This thread has been very informative and has helped me have a clearer head about the conversation. He tends to be, as one of you described himself, a worry wart when it comes to medical things and I now realize how important this is to take into account. Also he is not in very good shape (not for my lack of trying to get him to join me at the gym! LOL!), but it is interesting to hear how physical condition plays a role in the recovery. I will start a new thread and try and get him on here ASAP (didn't mean to hijack GC's but wanted to express my appreciation to him and all of you).

But I now know my thinking is to take a little time, make a few lifestyle changes and then do something about it. Obviously the choice is his and I will fully support whatever he decides. My mission is to get him to not rush into anything without fully educating himself. I have done a lot in the last week, but his approach has been to push it to the back of his mind and he really didn't want to talk about it. I think he just needed some time to absorb. But this afternoon's meeting with his urologist will likely be overwhelming for him. So thankful for all of you sharing information, thoughts and recommendations. God Bless the existence of this forum.

Dear Gonnabeat - please note that I started a new thread for you so that others would notice your comments and be able to properly welcome you aboard. Jim

Post Edited By Moderator (Tudpock18) : 12/9/2013 11:10:21 AM (GMT-7)

David,

Cath out on Wed. And pathology on friday

GC, Glad to hear you have made through the hard part well. Best of luck with your pathology report, sure it will be great. Take it Easy for now and enjoy the down time cause being back In the grind of everyday life will be here before you know it. Take care

GC

You're about a month behind me with a similar pathology report, including PNI. There are a number of older threads running on Perineural Invasion PNI that you might want to take a look at. That's what I happen to be searching right before seeing your update. Doesn't look too bad to me. There was a 2010 thread discussing a study that 67% of post surgery path reports show PNI yet over 10 years, the non-recurrence rate is like 95% (and this includes those 67%). So as usual, it is the luck of the draw, but the odds are in both our favor. Good luck!

Hey Greg, Thank you but you did all the work in researching all your options. All I did was share my experience and pass along what some had passed on to me when I first visited YANA.

Your pathology report is good, you have reason to be very happy. Now you can move on to goal #2, avoiding incontinence, minimizing it, and tackling it. I think you'll do fine on that front also and am cheering for you. After that goal #3 and then finally dealing with PSA stress and moving on with your life and with your young kids.

I'm really surprised at the size of tumor (4 times mine) and the extent of it. Not so surprised by the upgrade to 3+4. I believe that happens in about 30% of cases. John T was sourced that but I don't recall the exact number. I'm glad you chose treatment (any treatment) over AS, I think that turned out to be a blessing.

Wishing you a lifetime of zero scores.

Just looking for some clarification on my pathology report.
My tumor was 2.0cm and was extensively involoved bilaterally 90% of prostate slides. Does this mean that 90% of my prostate gland was cancerous? I am not real clear on the percentage meanings.
Even though i was told it was contained to the prostate i am very nervous about first psa test in a few weeks due to that large percentage

GC,
I'm glad that you "got her done". That rapid increase in PSA scared me as it did you. You had the best doctor so I'd like to welcome you to the "zero" club when you have your 1st PSA test. Emotionally you have been through a lot and please stick around and help newbees. Remind everyone to start having PSA testing at age 40. Frequency is between them and their doctor. Put it behind you and you and your family have a Merry Xmas
Bill

Congratulations! My it be the start of a long line of zeros!

Congratulations GC!

You are lucky not to have chosen AS with your pathology. If you did, your next biopsy could have been two years away and really that might have been a much worse surgical outcome. I think you made the right choice in retrospect and may you have zeros forever.

Regards,
An