Hi posting this new thread after my first thread has went cold somewhat (feeling a bit sorry for myself I suppose) - This as I await Radical Prostatectomy on the 03rd of April.
I am 51 and was disgnosed in February after biopsy with low PSA of 5.9 but Gleason 9 (4+5) and told I have a aggresive, high risk, high grade strain. Understand cancer is confined to one side of prostrate with 78% population. My bone scans were clear and my MRI was inconclusive as cancer could not be seen, so biopsy was revisted to further confirm Gleason 9.
I do not qualify for Brachytherapy due to high grade G9 so have opted for the RP surgery. My worry still being that the surgeon has said he will have to "dig deep" on the side with 78% population high grade and that I should expect problems with ED and incontinence. I understand nerve bundles will survive on one side but still worried about what I will be left with.
My other concern comes from the inconclusive MRI and the gleason 9 rating, as I understand that not many Gleason 9's achieve full remmision. I cant help thinking that the cancer is beyond the capsule and undetected and have been told that I will not get the full picture until they get in there and then get everything to the pathologist?
How long do the pathology results take after RP?
When will I have my 1st PSA test after RP?
What PSA level shows cancer is still there after RP?
Appreciate any advice or comments.