My name is Vindci, from India.
I am 48 years old, single. I found out about my condition as a matter of routine preventative examinations. My PSA levels were 3.0 to 4.06 for a period of 3 years that I started monitoring. I did not think it was an issue as the range indicated in the results were 0-4.
Last year I met my doctor and asked him if there is anything men can do as a routine cancer preventative examination. He suggested regular blood work, PSA, Chest X-Ray, and a Sonography of the pelvis and abdomen. Nov of 2017 I had my tests done and the results indicated small kidney stones. Since I had to travel, the doctor gave me some SOS meds to take if needed and asked me to repeat the tests on my return.
I repeated the tests in May and the results indicated a couple more kidney stones. This time I went to a urologist who asked me to get a KUB CT Scan to verify the results and also do a Free and Total PSA instead of just the Total PSA that I was doing all this time. He said he wasn't very happy with the PSA results at the time. The CT scan indicated fewer stones (probably picked up some protein but the PSA results were 3.96, Free PSA of 0.46 with the ratio of 11.6. The Dr. suggested an MRI and results of which indicated a small lesion of 6 x4 mm (AP X TT) falling under PIRADS 4. He suggested a Biopsy. I had to make an unavoidable trip for business and delayed the Biopsy due to the possibility of an infection.
I underwent a Bioposy on Nov 30, from the 13 samples collected, 3 were with Glesan 7 and 1 Glesan 8. The PSMA PET CT was clear.
The Dr. has suggested Robotic Nerve-sparing Radical Prostatectomy. He said it is best we get it out considering an aggressive Glesan of 8. At this time it is contained and said it would be best if we do a prostatectomy for if at a later stage anything emerges we could do Radiation.
He informed me about the side effects, mainly loss of ejaculation, Incontinence for a period, and ED. He told me I'll be discharged on the third day after surgery and the catheter will be removed on the 10th day. He said I'll be able to walk around the house, and can go back to work in 4 weeks depending on the incontinence.
After a week of having the Biopsy, I masturbated and noticed a reddish ejaculate and got scared, the Dr. said it is normal and asked me to give it a rest for some. But, I wanted to enjoy my last few days... I haven't masturbated since.
I also had an opportunity to speak to a few of his other patients. All of them were straight and much older. This is mainly because in India talking about any sex, sexual side effects in detail even if it is medical is still taboo let alone having a conversation of addressing the sexual concerns for gay men.
Thanks to everyone in this group for being so candid and open about the surgery, rehab, and your experiences. I had no idea about penile rehab, pumps, or the injections.
My surgery is scheduled for Jan 05, 2019.
I request you to please let me know and help me with anything I need to ask, prepare, or need to know about the surgery. Should I ask them for Cialis 5 mg? How does it help? Is it necessary.
Thank You Very Much. Looking forward to hearing from you.