← Return to Radical prostatectomy 9 days ago. Need help with the pathology PLEASE

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@di341

Just a follow up note, after catheter removal at day 10, he has had no incontinence, leakage or difficulties. Went right back to normal and wearing his normal underwear. Guess I should give a shout-out to his excellent surgeon, Dr. Peter Carroll at UCSF.

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Replies to "Just a follow up note, after catheter removal at day 10, he has had no incontinence,..."

Hi,
Dr. Carroll and staff will await the first PSA test which hopefully will be undetectable < 0.01
If that is the case, PSA tests every 3 months for a couple of years. You can request a Decipher test (which is sent out) to further investigate risk catagory based on his pathology.
Tom

As a fellow patient who had my Radical Prostatectomy performed on October 25, 2022, my experience is fairly recent.
Given the fact that your husband basically didn’t experience any incontinence at all is rather amazing. I’ve heard that kind of immediate result for only very few patients out of the hundreds I’ve read about.
I am assuming he had the nerve sparing surgery. If he is back to normal immediately without any signs or symptoms of ED he’s practically a medical miracle on the scale of Radical Prostatectomies.
Every patient is different. However, it sounds like your husband has had a much easier go if it than the majority of PC Patients. Surgery Lab results can be a bit complicated to read. However, if they removed 100% of all the detectable cancer and could not find any other detectable cancer outside the Prostate, in the nodules or anything else past the margins of the Prostate etc, your husband should be in great shape.
Secondly, if he doesn’t have to use any kind of ED medications for sexual inter course or other aids like a Penile Pump etc, he has been doubly blessed!
However, I would recommend that your husband speak with his surgeon or a Urologist who is knowledgeable and experienced in Penile Rehabilitation. Regardless of the great results, it’s usually a good idea to start some protocol for Penile Rehabilitation. Have his PSA and other blood markers checked every 3 months to establish his baseline numbers and stay current as he recovers and progresses. The best that any of us can do is stay in remission regarding our cancer. Hopefully, nether myself or your husband will have to revisit eradicating any if our PC in the future.
Best wishes,
Phil