I have MRI.. 2 times.. result is cancer…then biopsy 1 time.. cancer with Gleason 7 but pattern 4: 40%… plus cribriform .. then PSMA PT SCAN ..no tracer activity within prostate gland..then Decipher 0.24 low risk …so confuse….hard to make decision but I did….want to take it out from my body. I was a good candidate for AS but
They do not know and you do not know on until they get down there and see when cancer goes out of prostate, in my case my left lobe margins did come back positive when my surgeon send my prostate tissue to check on clear margins. I have my surgery on March 9th...5 weeks ago.
I feel very good and feels like I do not have any surgery at all.
New surgery technique’s can give immediate continence and with nerve sparing. The old stories everyone has grown up about being incontinent and impotent after prostate surgery are giving way to the new technology. I even went home from surgery the same day.
all urine leakage had completely stopped on fourth day after catheter out . Surgery was done by one of the best surgeon(in my opinion) with certain technique which not all Surgeon’s are trained in. He is approaching the prostate from behind the bladder (through the pouch of Douglas), it avoids damaging the Retzius space, offering superior, often immediate, urinary control.
I had a DaVinci Robotic Single port (one incision) surgery.
My surgery was 6 hour and during the surgery he send I was in surgery the prostate tissue to check on clear margins to the hospital pathology for staining to see whether I had the clear margins.This clearly delays the closing of the surgery and in my case my left lobe margins did come back positive and the PET scan saying it was contained within the prostate really was a surprise. Many Surgeons do not bother with this and at your post surgery appointment they give you the disappointing news that you have positive margin.
The stories everyone hears about how slow prostate cancer grows are stories too. Sure many prostate cancers are slow growing but as many are not. I had state-of-the-art surgery and a surgeon who was well versed in Single Port surgery along with the Retzius sparing technique for removing the prostate.
This is only my opinion...
If anybody have any question I will glad to answer it