Finally elected for RP late January as was not possible for me to access SBRT unfortunately given my specs.
Now 2 months post RP, PSA <0.02ng/ml, no positive margins, no EPE, upgraded from a G3+4 (30%)=7 to G4(60%) +3=7 with 40% of the G4 described as cribriform. Lymph node dissection were all negative as were the SV. There was PNI found and the histology report indicates Grade 3.
Zero incontinence from the moment of catheter removal but increased urgency and frequency which has improved significantly since although nocturnal urgency can still arise.
Complete ED but signs of life stirring in the last few weeks although can be painful. Tried Cialis 5mg daily but found I was getting strange pains in my heart area so I stopped. I've been prescribed Aprostadil cream for the moment rather than injections so I'll see how that goes.
Anybody any information on the cribriform finding?
It appears to have negative prognostic value but if the RP got the whole tumor contained within the prostate gland it shouldn't be an issue, I hope.. oh yes, and the pathology report found a previously undetected G3+3=6 tumor on the other side of the prostate as well.
Hoping I got this sorted before the horse bolted..