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Worried about results so far and finding the waiting hard

User
Posted 31 Jul 2023 at 18:58

I’m 58 and my GP picked up a prostate irregularity by DRE, PSA was 4.3 ng/ml and referred me.  Urologist examined me (DRE again) and sent me for MRI and PSA again (3.6ng/ml this time). Got a call one week later from consultant - three PIRADS 5 lesions detected (T3a N0 Mx) and prostate volume was 59ml.  She strongly recommended biopsy.
Then had a 4 week wait for transperineal biopsy. Nine cores taken, three from each lesion by fusion biopsy.  Two weeks have passed since the biopsy and just received appointment with consultant for results in yet another 2 weeks, so 4 weeks after biopsy.
I’m really worried what the consultant will tell me on the 16th August.  I expect the worse but hope that it won’t be as bad as I expect.  Not sure if this is a good strategy?  I have read a great deal of the primary literature along with textbooks so do feel that it’s not going to be good news. I’m finding it hard to discuss with family as I don’t want them to be as worried as I am. 
Should I take comfort in the non-hurried approach to see me or is this just NHS inertia and resource scarcity?
I am finding the waiting hard and feel that I am putting my life on hold at the moment.

Any advice gratefully received.

User
Posted 31 Jul 2023 at 22:50

You can take some comfort from the slow progress of the NHS it is just inertia, but sometimes a test produces such bad results they bring an appointment forward, which they have not done in this case.

At 58 you've probably got cancer, but most men your age have. The important thing is how fast or slow it is, with prostate cancer it is almost always slow or very slow.

Don't put your life on hold. Because the disease is slow, the NHS is slow, you will always be waiting for either tests, test results, or treatment. You need to be getting on with living not letting the sands of time run through your fingers.

Dave

User
Posted 31 Jul 2023 at 22:57

Meanwhile, you might like to think who you could take to the consultation if that isn't going to be family. Ideally, someone who can stay calm and hear anything you miss. You might want to write down any questions to take with you so you don't forget to ask them, and have whoever you take with also ready to ask them if you forget.

User
Posted 01 Aug 2023 at 00:58

The waiting really is the worst part. Really try not to put your life on hold but I know that is so much easier said than done.

I think regardless of the results you will still feel a little bit better than you do now (hopefully a lot better with good news). If it does confirm cancer you will be able to get a plan in place and you’ll have more facts instead of your mind racing and thinking the absolute worst (if you’re anything like me).

Lots of support on here, or prostate cancer uk, Maggie’s, Macmillan and maybe local support groups also. Can be really helpful if you’re finding it difficult to talk with family and friends.

Best of luck with your results. 

Elaine

User
Posted 01 Aug 2023 at 07:21
Hi Blue Sky.

,A problem shared……

I’m not sure if you are married or not but if you are, your wife/partner will play a very important role on this ‘journey’. If you are, then you will probably find they provide incredible support to you……a listening ear to share your worries, a kick up the backside when you need one, a help to make decisions on treatment, and a shoulder to cry on which will undoubtedly need. Just look at the number of wives/partners on this forum who play such an active part.

If you feel you just cannot talk to your family then please go along to your local Maggies. You don’t need to make an appointment, just turn up and you will find the. Incredibly supportive. Also join any support groups they have…you may(like me!) think it’s not for you but I can assure you it transformed the way I deal with this disease. Or phone one of the Specialist nurses on PCUK. The guy I normally speak to is from Glasgow and is so knowledgable and supportive.

Try to stay as fit and active as possible. Exercise is key to getting through this, and be good to yourself…give yourself some treats and do things you enjoy doing. The waiting is definitely the worst part but keeping yourself busy helps by taking your mind off it. Even book a few days away if you can while you’re waiting.

Best of luck with your results.

Derek

User
Posted 01 Aug 2023 at 09:30

Hello 

I echo Derek’s comments…we are just a few weeks ahead of you on this journey with my husband being diagnosed last Thursday.  Initially we kept everything between ourselves but at the biopsy stage told our son (didn’t tell our two daughters at this stage as like you didn’t want them worrying, especially as one pregnant with first baby).  It was a relief to discuss with our son and he is very level headed (obviously we also wanted to raise the potential issue for his own future health).

we told our daughters once it was a definite diagnosis, and just in process of telling close friends and I can say, definitely feels better being able to talk about things no matter who you choose and I really hope you have a partner or people close to you to be able to do this.

distraction during the waiting definitely helps! We had visitors due to stay with us for a week and we toyed with cancelling them but so pleased we didn’t, that week flew by so quickly and really took our minds off the waiting…. So as Derek said, possibly take a few days away or immerse and indulge yourself in something you love doing.

keep us updated and we hope for the best outcome for you

Debbie

User
Posted 01 Aug 2023 at 10:04
Just to add my two cents.

PCa is one of the most common cancers in men, only beaten by skin cancer, and has had huge investment in treatment options over the last few decades. Levels of advancement in the cancer that were untreatable 20 years ago are now routinely treated and do not, or minimally, impact lifespan.

Most men will die WITH prostate cancer rather than BECAUSE of it.

I suspect that you may be offered RARP which many of us have had. The fear and anticipation is the hardest part - the procedure is actually very straightforward in the vast majority of cases and although the side effects (ED and incontinence) can impact you mentally and physically, you can live a perfectly healthy lifestyle with them.

Keep positive, it won't be half as bad as you are anticipating.

User
Posted 01 Aug 2023 at 13:33

Thanks for all the advice. We are now planning a week away before the results. I am going to try not to keep going over things in my mind and enjoy the break with the family.

 

User
Posted 01 Aug 2023 at 17:48

Originally Posted by: Online Community Member

Thanks for all the advice. We are now planning a week away before the results. I am going to try not to keep going over things in my mind and enjoy the break with the family.

 

Have a great time Blue Sky…and keep talking😊

User
Posted 01 Aug 2023 at 22:13

Originally Posted by: Online Community Member

Thanks for all the advice. We are now planning a week away before the results. I am going to try not to keep going over things in my mind and enjoy the break with the family.

         

A good plan, more or less what we did whilst waiting for the biopsy results. As others have said, the waiting is the most difficult part and each consultation seems to start another wait for another scan etc etc. I'm now waiting for my post-op follow up in 4 weeks time. As others have said, try to keep occupied and avoid too much Dr Google. Good luck 👍 

Edited by member 01 Aug 2023 at 22:15  | Reason: Because... phones! ;-)

User
Posted 16 Aug 2023 at 23:06

Update:-

The waiting is over and today was the appointment with the consultant to get my biopsy results.  I wanted to let you know that the results were much better than I had been prepared for.  Cores from two of the MRI PIRADS-5 lesions showed only benign prostatic tissues.  The final anterior lesion showed Gleason 3+3, Grade Group 1 with a acinar tumour type.

I was given treatment information about surgery, radiotherapy and active surveillance.  The MDT recommendation is for active surveillance.  I was not expecting this outcome and had expect worse.  I'm now readjusting to this news.

My prostate cancer journey continues.  I am sure I will be seeking advice on this forum in the not too distant future.

Many thanks for the help and kind words.

User
Posted 17 Aug 2023 at 01:16

That is a pretty good result. G6 is not likely to go anywhere fast, and over 50% off men your age have got that, but most of them don't know it and will never be troubled by it.

You do need to make sure AS is done properly. I have a friend who has to chase up all his appointments, because his consultant is a surgeon and he is only really interested in getting his knife out, rather than managing boring MRI scans and PSA tests.

As long as you can resist the desire to go against the MDT you can look forward to many more years of continence and erections.

Dave

User
Posted 17 Aug 2023 at 12:52

Fantastic news.  Go and enjoy your life.

Best wishes,

JedSee.

User
Posted 17 Aug 2023 at 13:19
Brilliant news and enjoy your life. It's all about living in the present as my husband was told when he was diagnoed with metastatic prostate cance last April. Since his diagnosis we have had many more weekends away and quite literally not taken what we have for granted.
User
Posted 07 Sep 2023 at 20:28

I can relate to your circumstances,  am in a similar situation , the wait is killing me 

hope your get all your questions answered, take care 

 
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