Blood in sperm after biopsy

Hi John, sounds like a plan, cheers!

Thanks Pallance.

Yep, always an upside, just doing it with my eyes closed, then clearing up after the moment ;-)

Same biopsy for me, what seemed like endless needs, was so glad when that was over

Andy

Hi All,

Been a while since I replied

I got my biopsy results on Friday 16th November, I do have prostrate cancer which has / is a shock

But it's not spread beyond my prostrate, and I have a choice of options: removal through the robot assisted procedure, directed beam radiotheraphy or brachytherapy.

They've said each option for me, has the same outcome in terms of getting rid of the cancer, it's more a question of monitoring me afterwards to pick up on any future issues as my PSA is already low

I had a meeting with the robotic surgery guy yesterday, to discuss that procedure and have a meeting with the radiology people next week to discuss that option.

My girlfriend was with me, to support me, ask any of her own questions and take notes, which was nice

I just need to decide on the treatment I want in the next week or two. For me, apart from obviously wanting to get rid of the cancer, functionality afterwards is really important for me:

I have great orgasms and want them to be as good as possible afterwards

Minimising incontinence as much as possible

I'm not that great with pain, emotionally and physically, especially when they're messing about with my penis, bladder, etc, so want that minimised and much as possible

I'm starting to waffle now, I woke up early!

Thanks

Andu

Thanks John

Will update my details later and take a look at your story this evening.

Will look at getting a 2nd opinion, should I see my gp about this? Will also take note of any advice I get here

We're just off out for the day with the dogs, get some R&R

Have a good weekend

Andy

 When I was diagnosed PSA 38 Gleason 4:5 T2c I was told I had an aggressive hi grade cancer so prostatectomy was not an option. As mine was also confined in the prostate I went on HT then radiotherapy. at end of active treatment my PSA is 0.5 I’m glad Prostatectomy wasn’t on the tabl for me. I am happy with my decisions I made that also included not having HDR Brachytherapy, as you get RT as well anyway. I had the 20 higher dose fractions of RT instead of 37 as the school of thought is now that is more beneficial. Now I need the next 3 quarterly PSA tests to show no rise. As for orgasms, im sure you will have some form of Hormone Therapy and the side effects are well documented. Dry ejaculations are what I have and the feeling is different and love making needs a lot more work and a patient loving partner 

Hi photoguy 

After talking to  the consultant I decided to go for the radical prostatectomy just thought it was better to have the cancer remove from my body in one go, operation was straight forward not to much pain, 5 months on completely continent again but I do have ED as my nerves were removed as well. I think what ever way you go the side affects are the same. 

good luck in the future and I hope all goes well when you do make your mind up about the treatment.

Hi photoguy,

Sorry to learn that your tests came back positive.

Deciding on the choice of treatment is not an easy one. Much depends on staging and what will give the best outcomes.

Although surgery was a daunting proposition, surgeon recommended option, i went with it. So far, it has proved to be the correct decision for me.

The surgery itself was surprisingly uneventful and i was home the following day. I did have bladder spasms, not very common i believe, so just unlucky i guess.

Once you have discussed all your options, and have more information, the decision on treatment will become clearer. It was certainly the case for me as i looked more closely at my biopsy results and outcomes for similar cases - although we are all individual and unique.

Due to age and aspects of my biopsy report, close to bladder neck,  core % and peri-neural invasion, i discounted radiation treatments. Radiation with peri-neural invasion has been shown to have less favourable outcomes. The surgeon, wonderful man, expressed his concern for radiation due to my age. I now see radiation as a future follow up treatment, if it does come to that.

So far i have no regrets with my treatment option.

I wish you all the very best for the future. Good luck with your choice of treatment.

Neil.

Hi Pallance, which hospital was that. Plan is for me to be treated at the Royal Surrey, Guildford

Sadly serious. Don't expect them to ask how i am every 5 minutes but his attitude seems to have changed 

Then, to cap it off, had a nightmare that night in the early hours. Dreamed I was being chased around a big house by people who had really intense expressions on their faces  until they cornered me in a room, forcing me to take a gun to play russian roulette with :-(

Had my meeting yesterday with a great nurse at royal Surrey in Guildford to discuss Brachyrherapy, as well as some more checks. She was bloody fantastic, talked about my nightmare with her and she so amazingly caring and told me there was no way I was playing russian roulette with my health. All this while i was naked from the waste down and was using an ultrasound probe up my bum ;-)

Made up for my boss being a dick

I was particularly anxious, stressed and angry after dx. I lost three stone from dx to going back to work after op and I didnt really have three stone to spare. My worst nightmare is being at my gp surgery, its all a bit vague and varies until the point where I am trying to shout at him but unable to make a sound. Then I am peeing blood all over his desk and floor. Then wake up soaked in sweat. There are others but more varied. Two years on and much less frequent so not really a problem now. The worst part is the waking up soaked even though not even slightly hot.

Good luck with your treatment and recovery

Cheers

Bill

Thanks for sharing 

I was due to come off fluoxetine, but will stay on it a while yet. Also take zopiclone sometimes, to get a good night's sleep.