I was referred to a urologist after I complained of nocturnal frequency (2/3 times night). DRE revealed a small "Pea" size lump, and PSA was 0.6ng/ml.
Referred to a Urologist who performed a flexible cystoscopy (bladder) and TRUS biopsy of prostate.
Bladder outcome - superficial papillary transitional cell carcinoma (TCC), grade WHO 1. This was cut out a few months back during an uneventful procedure involving an overnight stay in hospital.
Prostate outcome - adenocarcinoma, tumour length 0.3mm, Gleason 3+3=6. Located in 1 needle of 8.
Low PSA means bugger-all! So, now decided on having traditional Radical Perineal Prostatectomy (RPP) in early November. My thinking is to get rid of the problem whilst it's still confined.
Thanks for everyone's stories, it is certainly valuable and educational reading once you find out you have PCa.
Later: Richard has confirmed that he has decided to go ahead with surgery, Radical Retropubic Prostatectomy.
To be continued...
Had surgery (radical prostatectomy) late October 2009.
Prostate was removed, pathology confirmed that it was confined. Also had a flexible cystoscopy which revealed no regrowth of my previously removed bladder tumor. I experienced very little pain after surgery, and feel I'm recovering well. Had a catheter in for 3 weeks, which wasn't a problem either - a quite a luxury at night.
I was pleasantly surprised with my level of continence once the catheter was removed. Now, 5 weeks after surgery, I'm feeling fine though must wear pads due to small leakage when laughing or doing some other exertion.
First blood test is in a few months (January) before I see my Urologist. I hope my PSA will be 0.0, and hope my water works has improved.
E.D. - nothing yet!
Three months after surgery, first PSA test done and it's less than 0.01%
I'm very pleased.
It's been 13 months since my radical prostatectomy (RP) and removal of the superficial TCC (transitional cell carcinoma) from the bladder.
PSA remains below less than 0.01, and all clear with the bladder. The six monthly bladder checks have now been extended to 12 monthly checks.
I have no regrets choosing the RP path. I don't have any problems with incontinence, and erections are 9/10 so not quite where things were before the RP.
It's been 2.5 yrs since my surgery and all is very good.
PSA - great, undetectable
ED - good with 95% erection
Continence - good, very occasionally a weeny bit of leakage if I'm tired late at night.
Pads - not normally worn.
... and the bladder cancer - great, nothing detected at yesterday's flexible cystoscopy.
Richard 18 May 12
Dec 2012, 4 years since radical prostatectomy, PSA remains undetectable. Things are going great!
Four (4) years since surgery.
All is good!
PSA remains undetectable, and has been since my radical prostatectomy 4 yrs ago in October 2009
All is good!
Rick (27 Jan 14)
It's been 5.5 yrs since surgery (Oct 2009). All is good. PSA negligible. Erections good 9/10, no need for Viagra. Incontinence is very slightly worse over the past year. No need for pads though, just have to careful if tired or going over the top with alcohol.
Recent PSA returned "negligible".
Erection 8/10, don't wear pads. Life is good!
All's well - PSA undetectable!
Richard's e-mail address is: richard.phelan AT westnet.com.au (replace "AT" with "@")