Congratulations on the first two weeks reported. I understand your curiosity with regards to sex. That is probably the biggest worry we go through after an open surgery. The cancer comes second in line.
I had RP in 2000 and recall when a nurse came to the recovery room next day washing me up in front of my wife. She touched the parts and it gave a sort of sensation of pleasure.
It was a relief after reading and worrying so much on the side effect. At the end, I was fortunate in both aspects, total continent from the moment of withdrawal of the catheter and natural erection on the second month. The penis though was smaller. My first PSA was done two weeks after surgery.
I hope you recover totally the soonest and that the pathological report brings you good news.
Last edited by mod85; 10-25-2012 at 02:39 PM.
The Following User Says Thank You to Baptista For This Useful Post: edd4480 (10-25-2012)
A Radical Prostatectomy specimen weighing 50.9
gms and measuring 37 (Length) x 42 (Width)
x 40 (Height) mm, with seminal vesicles up to 21
mm in length. The specimen was cut into six
parallel slices and all embedded into seven large
ADENOCARCINOMA, GLEASON 3 + 3 =6 PRESENT BILATERALLY; THE BULK OF THE TUMOUR BEING IN THE RIGHT APEX.
Tumour volume: Approximately 0.7 eu em (about 1.4%).
Apical margin: Negative.
Bladder margin: Negative.
Circumferential margin: Negative.
Perineural invasion: Present.
Vascular/lymphatic invasion: Negative.
Extraprostatic extension: Negative.
Involvement of seminal vesicle(s): Negative.
Premalignant change: Multifocal high-grade prostatic intraepithelial neoplasia.
Other pathology: Nodular hyperplasia, chronic active inflammation.
Pathologic stage (TNM 2010): pT2cNx.
Tumour map attached.
Radical Prostatoseminovesiculectomy: Specimen and organ confined ADENOCARCINOMA,
GLEASON 3 + 3 = 6, pT2cNx. Local excision appears complete.
Have to go back in January for a PSA test, but the surgeon has said 98% certain I am now ok. Forgot to ask him about the Perineural Invasion. I was given a copy of the report and a colour copy of the tumour map.
My MRI was a bit of a disaster. The NHS consultant didnt give me details apart from recommending surgery - the MDT team had decided that. It was sent to my private consultant urologist who said the problem was with trauma caused by the biopsy that had distorted the MRI. His view was that he would have done the MRI before doing a BIOPSY as this is quite a common occurance.
The facts we established though:
Consultant could confirm that there was additional cancer showing in the central zone on the MRI , no sizing data for this nor the cancer in the right due to trauma. The size of the prostate at MRI in August was noted as 30 gms, at pathology post op in October it was 50.9 gms.
The MRI showed central and we knew we had cancer in the right from the biopsy.
Pathology showed cancer in the right, the left and they\consultant described it as a large volume in the reight APEX which I assume had also caused the perineural invasion. ( The path report describes this as the bulk) Though all margins negative.
I am assuming and someone might confirm this, that when the path report says the bulk of the tumour was in the right apex and when it said 0.7 eu em (1.4%), these measurements were refering to that larer tumour and not the others in the right and left which were less significant. All a little confusing to me.
The red tumour looks very close to the yellow stained edges in the right slices. Dont know why the left slices are not coloured yellow as there are red bits of tumour in those that seem close to the edge. Musnt be significant else I would have thought consultant would have mentioned it to me.
Anyway, still got ages to wait as my first post op PSA test isnt until 21st Jan 2013.
Last edited by moderator2; 11-22-2012 at 07:10 AM.
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