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Luis Prieto lives in Spain. He was 62 when he was diagnosed in December, 2007. His initial PSA was 4.90 ng/ml, his Gleason Score was 6, and he was staged T1c. His choice of treatment was Surgery (Manual Laparoscopic Prostatectomy ). Here is his story.

I was detected PCa on December 2007 following a PSA increase up to 4.9 and subsequent biopsy. Results rendered a 3+3 Gleason adenocarcinoma, and after careful consideration I had a laparoscopic radical prostatectomy on Feb 4, 2008 which confirmed Gleason score. Fortunately, PSA values have consistently resulted in 0.01 every six months after surgery except for one which showed 0.02 (probably due to "background noise").

Latest semester result for PSA continues to be 0.01. Time elapsed from LPR surgery is over 5.5 years. Obviously, I feel extremely satisfied with the outcome. Although decisions on how to cope and proceed with this sort of PCas are very personal and vary with circumstances, at this time I am totally convinced that, up to a certain age, any low PSA Pca with high probability of being organ confined should be very seriously considered for LPR surgery. Oncological and urological results are usually very satisfactory and any ED problems can be dealt with applying just a bit of patience.

UPDATED

December 2014

During the present year 2014, both March and September semester PSA values continue to be 0.01, after 6.5 years from LRP. So, absolute peace of mind.

No long term side effects are present except for a very slight ED, which I estimate to be very manageable.

Once more I would like to insist at this time that LRP surgery should be very seriously considered by younger individuals with low PSA and Gleason levels. It is a highly probable once and for all solution to the problem. Data available on this database for such sort of individuals is quite evident in this respect.

God bless you all.

UPDATED

January 2016

At this time it's nearly 8 years from LRP surgery and both 2015 semester PSA tests continue to be at a flat level of 0.01.

In this respect, there is not much to add other than the fact that I totally reconfirm my perceptions and/or recommendations stated in my previous update.

I really hope that all the information we share in this excellent website be as useful as possible to all concerned, specially to new members of this family.

Once more, God bless you.

UPDATED

April 2017

The present status continues to be absolutely stable within the last twelve months with two latest PSA tests resulting in 0.01.

Nine years from LRP surgery. Not much more to add.

Best wishes for everyone.

Luis's e-mail address is: lpcarles AT hotmail.com (replace "AT" with "@")


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