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Post RP results: PSA and Decipher score. Asking for comments
Prostate Cancer | Last Active: Jan 21 12:36pm | Replies (11)Comment receiving replies
Thanks for responding. My pre-RP Gleason score was 3+4=7, after RP pathology came back 4+5=9. They determined my cancer was right at the capsule, but didn’t believe it had gone through. Lymph nodes were clear. My surgeon said he got it all but the PSA would be important in determining the next step. BTW, I had zero side effects after surgery. No incontinence at all ( I’m also a very healthy 71. Just had my yearly physical on Wednesday. Everything Aok.) I meet with my surgeon on April 1st as a Followup from my RP. This was set up prior to my decipher results. I’m a little anxious right now, but I’m assuming he doesn’t feel a need to meet earlier. 🙏🤞
Replies to "Thanks for responding. My pre-RP Gleason score was 3+4=7, after RP pathology came back 4+5=9. They..."
Can you communicate with your surgeon via email? Acknowledging your anxiety snd providing information based on your concerns does not require an in person visit or physical exam.
A good surgeon will know that their patient's state of mind is important in healing and recovery.
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Great news on the recovery, excellent!
April 1st can seem like a very long time away, but it is very soon in the world of prostate cancer. You did (presumably) a sufficient amount of research on deciding to have surgery, so you can (if desired, and it sounds like you are of interest) enter into the next chapter of education and research to explore the cancer outlook after surgery. I would think you would get a PSA test every month (there is no harm in drawing blood and getting a measurement) and then you will have multiple data points for consideration.
Even if your PSA rises in the next few months, it will need to rise to a minimal level (2 or so) in order for some of the imaging to have a degree of confidence.
The heterogeneity of prostate cancer is such that your path forward will be similar, but not exact to other people. So, take your time on education and research, and continue to enjoy a successful recovery from the surgery.