Had Radical Prostatectomy last week: What are next steps?

Posted by perrychristopher @perrychristopher, Aug 10, 2022

Hi, I just had a Radical Prostatectomy on 8/4/22 and made the unfortunate decision to look at my Pathology Report before my appointment with surgeon in 2 weeks. Actually, all data looked good except one margin notation. My Gleason was still a 7 as it was during the biopsy in May. No seminal vesicles, bladder neck, or lymphovascular invasion observed. 15 lymph nodes were removed with no sign of tumor and were given a rating of pN0. The tumor itself was diagnosed as a PT2. However, in two slides of the left lateral location of the removed prostate an invasive carcinoma was present at margin. The length of this carcinoma was 1mm. My last PSA taken in March 22 was 3.46. Now I am concerned what is the next step. I was really hoping I would not require Radiation after the surgery, but not so sure now. Any thoughts. Thank You. Perry Christopher

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1. Do kegels regularly, based on technique from a specialist not a YouTube influencer
2. Don't go to the bathroom too often (every time you stand up) or you will train your bladder incorrectly
3. Focus before standing up when it is time to use the toilet, using kegels to stop the immediate dribble until you get there to void
4. Assuming you wear pads, or Depends, (or whatever) while your incontinence continues, figure out a way to be free of them for some time each day. Maybe use a penile clamp? This would allow your skin to dry out for a few minutes at least.
5. (Hardest of all) be patient and remember you are free of the cancer.

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