I'm interested in conversations about and I want to talk about
Know exactly what you want?
Show search

Notification

Error

<123>

What a 28 days that’s been - Just diagnosed

User
Posted 10 Feb 2021 at 05:11
My post operative biopsy was T3a, upgraded from T2a before surgery two and a half years ago.

I went to a top rated surgeon, and the only side effects of my operation (apart from being cancer free), is a substantially shortened penis and complete erectile dysfunction.

I am quite happy, apart from being banged up due to the plague!

Best of luck.

Cheers, John.

User
Posted 10 Feb 2021 at 08:28

John

 

If you have private then ask your oncologist if Proton Beam Therapy is an option.  www.therutherford.com/treatments/proton-beam-therapy/

I have just over a week ago finished the treatment so its way too early to tell how succesful this has been but I'm told its the Rolls Royce of the Radiotherapy world and this is just as effective if not more than surgery.    I have so far had little to no side effects apart from discomfort peeing and an urgency to go which 4 days after the treatment has already subsided and I'm not even getting up during the night.    My PSA will be rechecked in 6 weeks.    I just could not recomend enough the level of care that the Rutherford in the North East has delivered and each visit (I had 7 Fractions every other day) was nothing that I dreaded.   I'm not sure how ED will effect me and as I said its too early but I know that I do have sensation already.

I'm sure that I read somewhere that this in years to come will replace surgery and my oncologist told me that the success rate in my case would be just as good as surgery.    I almost feel a fraud in that here I am being told one minute  I have  prostate cancer  that needs medical intervention and now I'm through treatment and to be honest I have very little side effects and nothing unpleasant has happened.

Take care and all the very best

User
Posted 10 Feb 2021 at 17:23

Hi John, so sorry to read your story. I  was in a similar position around Christmas last year, albeit 15 years older than you. I found out following a routine blood test. No symptoms. I ended up having a robotic laparoscopic prostatectomy in August at Guys hospital. 

We are all on different journeys and different stages of those journeys and will have different experiences

So the best I can suggest is that you speak to the PCUK specialist nurses. I found them to be very helpful and friendly and supportive and always compassionate.  More important they are impartial. 

Good luck on your journey and best wishes to you and your family. 

User
Posted 10 Feb 2021 at 18:09
My OH was a T3a downgraded from T3b. He had a RP and has no regrets at all. Yes there are side effects and it is well to,remember that while the majority of men improve with them, some don't.

He was of the same mind, just wanting to be free of cancer and sod the side effects. His attitude is still the same now. Urinary continence is getting better all the time and now he is pad free except when he worries he's going to get stuck without a toilet but it's really just a confidence thing. But even when he was still using pads all day, he said, if this is what I have to put up with for ever, then it's a small price to pay. But as I say, he's now pad free. He also supports the saying....there's no sex in graveyards. So for him he has brushed them off easily. Not all men feel like this, this is why it's,such a personal journey.

Very important if you go for surgery, is your choice of surgeon. You can use the BAUS website and check what your local surgeon is like. You need a high volume one, 100 per year and one that also does a fair amount of T3s. You don't want one who specialises in T1 or T2 and doesn't touch 3s. Our surgeons greatest percentage of work is with T3 so we felt confident going in.

Within 6 weeks you will know whether the surgery has been an success, in the form of undetectable PSA ( of course you have to join the 3 monthly stress we all 'enjoy' of subsequent tests.

Also you get the histology result, which tells you exactly what you had inside you. Some men are bang on the same as the biopsy, some are upgraded and a few are downgraded.

I am not an advocate of one treatment over another. This was just our path but it's been ok so far. Today he was re roofing a 10m kennel hauling heavy duty tarp about, so life does go on.

User
Posted 13 Feb 2021 at 09:17

John,sorry to hear about your diagnosis,I would contact the one to one support ,available on the Prostate Ca uk website and speak to someone who’s been there,a verbal conversation will give you more of someone else’s experiences and you can ask many more questions getting answers immediately 

User
Posted 16 Feb 2021 at 14:19

So today was my consultation, Last week I was called into my GP surgery for a flu jab and to discuss my diagnosis as they had received a letter from a consultant explaining my T3 status.

I can’t quite believe what I’m about to type but all 12 biopsy cores have come back negative.

despite my PSA being raised, my DRE being abnormal and my MRI showing an abnormality that had breached the prostate capsule. Even on biopsy the consultant used ultra sound and targeted the abnormality.  

I seriously cannot get my head around this, an MDT is going to be held on Thursday and a repeat biopsy might be requested via a different route. 

Repeat PSA has been requested. 

I was fully prepared for the worst case scenario and I’m now worried that they have made a mistake and my biopsy results are wrong.

totally shocked 😳 😳😳

User
Posted 16 Feb 2021 at 14:26

Even the Consultant has stated that he does not understand the biopsy results as he felt the abnormality for himself 😳

Not sure I’m actually mentally in a worse state than when I thought I had cancer. 

I must sound really ungrateful and I know I should be over the moon but something clearly isn’t right.

Edited by member 16 Feb 2021 at 14:51  | Reason: Not specified

User
Posted 16 Feb 2021 at 16:11
As I posted earlier in the thread, an mpMRI cannot diagnose cancer, only give a prediction of likelihood that cancer will be found when the biopsy is done. My personal view when you first started this thread was that your consultant had been rather previous and unfair in telling you what he did - perhaps he was absolutely convinced or perhaps he has a big ego, but it wasn't how most urologists would manage that situation. Apart from anything else, you shouldn't have been in a position where you were breaking bad news to family & friends before the diagnosis had been confirmed.

If the biopsy cores were taken from the area that was causing concern on the mpMRI, and they have all come back clear, then it seems safe to assume that you do not have cancer - or if you do, it is small and certainly not as extensive as you feared. Once the shock has worn off, you will hopefully feel able to celebrate being the 3rd person on here in a short period of time to get a PI-RADS 5 and then the all clear. You will certainly be aware now of the importance of annual PSA monitoring!

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 16 Feb 2021 at 16:20

Thanks Lyn, I have just had another phone call from the Consultant to tell me he has requested another PSA test in 6 months time,

I asked him about a possible mixup in sample but he claims that’s impossible, I also asked if the biopsy could ‘miss’ its target he again says no.

He he’s just told me in a nut shell you have an abnormal shaped prostate which looks abnormal on MRI and feels abnormal but is fine and does not contain cancerous cells.

As stated before I do have private medical care so I might ask for a second opinion to be on the safe side. 

User
Posted 16 Feb 2021 at 19:52
Great news, John. I would say go out and celebrate, but instead it’ll be stay in and celebrate!

Chris

User
Posted 16 Feb 2021 at 23:17
Good news but don't overlook the PSA test check.
Barry
User
Posted 16 Feb 2021 at 23:26

Hi John,

Good news. Incidentally I was made aware after my biopsy, ..prostatic calculi.

Never heard of them at the time, and the person said, maybe inflammation and prostatitis.   I never had any Pirad info, my op was 6 years ago.  These deposits are only rice grain sized it seems yet can cluster.  I never had any symptoms.  It seems they can cause dull perineum pain, again inflammation etc..  I believe you should be able to request digital images, maybe have to pay. You would then need obviously someone to interpret.  At least you have a PSA baseline.

Regards Gordon

 

User
Posted 17 Feb 2021 at 10:23

Thanks all, I still haven’t quite got my head around it, after spending the best part of a month preparing for the worst, to be told it’s nothing don’t worry about it.

I only hope that the 6 months until the next PSA goes quickly and the result comes back as normal or at least the same.

Can’t help but think, what if they have got it wrong and my PSA shoots up and what was a possible T3a and treatable is now a T4. I know that’s me over thinking everything but can’t understand how it’s gone from you have T3a Pca to all clear carry on. 

User
Posted 17 Feb 2021 at 11:31
You're over-thinking this, John. You could be run over by a bus tomorrow. Enjoy life and be grateful that you DON'T have prostate cancer.

Best wishes,

Chris

User
Posted 17 Feb 2021 at 11:49
I think you said that the MDT will be discussing your case again at their next meeting? I imagine they will be poring over both your MRI images and biopsy samples to check they are all in agreement about the findings and whether they think further assessment is needed.

We do have one member here who had his prostate removed only to discover that he had been given someone else's results. He has to live with side effects of an unnecessary op but the other person was given the all clear when he really needed treatment

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 18 Feb 2021 at 09:57

JOHN - it is hard to eat cheese cake when your told it is fruit cake but just listen the Dr’s and go with the flow.  Get the PSA checked regularly and SMILE....... you are ok.

Great news and I hope it continues to be nothing and all clear.   

Now live life to the full and enjoy........ :-)

But please keep in touch touch and let us know how you get on.

User
Posted 18 Feb 2021 at 18:58
Very interesting ‘case’ yes best way go with flow and just regular psa tests and keep eye on any change in bodily functions !
User
Posted 23 Feb 2021 at 11:42

Hi,

I'm sorry to hear about your diagnosis. My husband Ian got diagnosed late 2019, at 56 years, a T3C gleason 7 cancer, which was at high risk of spreading, and the doctor told him that he was living with it for many years already. My husband's instinct was to get the prostate out as soon as possible, and also the fact that he could still have radiotherapy in the future, if he needed it. We were lucky to get surgery done privately in February 2020, before lockdown. My husband has had bad incontinence which has improved a lot recently. Because of there being a lot of cancer, his nerves couldn't be spared, however he has had some stirrings not long after the operation , and responds to Viagra sometimes as well. But he still has a long way to go, and he uses his vacuum pump religiously every day, and won't know if he'll ever get natural erections again. Unfortunately, after the operation his PSA was still too elevated, so he had all the scans again, this time a PET scan as well. They found a cancerous lymph node outside the prostate bed, which couldn't be operated on, since it is close to a major blood vessel, so salvage radiation and hormone therapy was the next treatment! Luck was not on his side, a big setback for us! In September he started with the hormone injections, and is to be on them for two years. The side effects are not always pleasant, hot flushes, no libido, muscle pain, etc. Ian is a fit man and has managed to keep exercising, which helps a lot when you're on hormones. He started his radiation sessions on January 13th and has only 5 more left! Right now he is feeling very tired and he often feels jucky, due to the radiation. Ian has really been through the mill in the space of one year, and we are hoping that he will not have a recurrence of cancer in the future. Nobody can tell you exactly what will happen, Ian was told he has a 1 in 2 chance of getting cured of his cancer in his prostate bed and one in 3 in the lymph node area. Having said that people are living with this disease for 20 years plus after initial diagnosis, so being positive and optimistic will help. Also there are so many new treatments in the pipeline now. We have 4 children, the youngest 18, the oldest two took it quite badly, and the younger two didn't seem too fazed, but maybe they are covering it up. Ian was honest with them right from the start, and told his friends as well. I wish you all the best, and don't hesitate to ask more questions!

User
Posted 23 Feb 2021 at 12:10

Knodel - did you perhaps overlook the fact that John's been told he DOESN'T have cancer??? That doesn't seem like anything to be sorry about!

Best wishes,

Chris

 

Edited by member 23 Feb 2021 at 12:16  | Reason: Not specified

User
Posted 23 Feb 2021 at 18:11

My heart genuinely goes out to each and every one of you,

I’m one of the lucky ones,for now I have been told I need my PSA checked every 3 months to monitor why it’s raised and make sure there are no changes.

I will be raising money by walking 11,000 steps a day in March and will also be doing ‘Run April’.

I feel like I’ve dodged a bullet for now but have also experienced some of the trauma you have all been put through by this vial condition.

 

 
Forum Jump  
<123>
©2025 Prostate Cancer UK