Recently diagnosed with Gleason 7 (3+4) and have been doing research for the past few months. I had a biopsy that found prostatic adenocarcinoma in three of ten cores, all on the left side.
Less than 0.1cm of a 1.5cm core
Less than 0.1cm of a 0.8cm core
0.3cm of a 1.4cm core
My PSA was last tested at about 4.7. My prostate is normal size with no indication of enlargement during DRE.
I am otherwise healthy and active. Looks like I have a very tough decision to make. I have narrowed it down to either Radical Prostectomy (hoping my age and health will ensure a complete recovery) or Active Surveillance.
My surgery was completed on November 24 - Open radical prostatectomy.
I arrived at the hospital as requested at 6:30AM and proceeded to surgical admissions. There was already a line up ahead of me, I suspect for various surgeries.
My name was called first and was quickly ushered into prep room where we get to change into those wonderful hospital garments. IV was installed without too much fuss this time. My surgery was scheduled for 8AM so a bit of waiting. So glad my wife was with me.
When my time came instead of wheeling me in I was asked if I could walk in for some reason. I felt fine so had no problem. Actually it was kind of cool to walk beyond the RESCTRICTED doors and into the surgical room. There were about six people in scrubs including my urologist with a great hat! They lone operating table in the middle of the room with glaring lights and ominous looking machines and tubes.
From this point they really move fast. I was given a "relaxing" drug into my IV that made me feel warm all over. Since I had opted for a morphine spinal that was then injected into the small of my back. No pain just a sharp prick. This guaranteed me up to 16 hours of strong pain relief.
Next came the mask in which you are asked to breathe deeply and heavily. I felt heavy and losing consciousness fast.
Woke up from a strong dream in the recovery room. They said I did wake up in the surgical room when they induced consciousness but I don't remember. Upon awakening it took me a second to realize where I was and what I had gone through. I felt no pain at all. I could see a catheter extruding from my penis and a 10cm incision closed by staples.
As soon as a room was available I was wheeled there and stayed 3 nights and 4 days.
The two weeks at home with a catheter was uncomfortable. After removal I was incontinent for 5 days. I was OK sleeping and sitting but as soon as I stood up I would start leaking. Something clicked on the sixth day and have been improving ever since. Today marks four weeks since surgery. I use one pad during the day but seem to have very few leaks. I still get tired but slowly starting my exercise routine again.
April 2017 marks about 17 months since my surgery. The final pathology confirmed Gleason 7 and stage was upgraded to T2C so it looks like I dodged a bullet. I am going to turn 57 in w couple weeks. I have no leakage so no pads. Very pleased. Girls still look great..... ; ) However ED is a work in progress. Viagra works very well but trying for natural...........
Michael's e-mail address is: mrjblanchard AT gmail.com (replace "AT" with "@")