What next, after surgery?

[Paulo1968]

A month after surgery and here is the information about the pathology report:

It is a pT2. So no extra-capsular invasion after all and it is of the usual acinar type. No seminar vesical nor lymph vascular invasion nor ductal invasion.

No chirurgical margins involved except one on the right side in the apex with 1 mm. Doctor said that till 3 mm it would have no statistical impact ...

Lymph nodes (18) removed also cleaned.

However confirmed a Gleason 8 and it was a big thing in both 2 sides of the gland.

Doctor said, opposite to initially thought, it turned out to be not so bad and he is not so convinced of adjuvant treatment right after surgery anymore. Unless the PSA says otherwise.

So next step is check PSA in July 2018.

Any comment/advise is highly appreciated.

[Tall_Allen]

You have nothing to lose by waiting for the PSA - you have to wait 3 months for adjuvant radiation anyway. Make sure it is an ULTRASENSITIVE PSA test.

I hope you have started on your penile rehabilitation already.

[Paulo1968 in reply to Tall_Allen]

I am taking cialis 5 mg daily and 30mg on sos spedra. I need to buy a pump.

Anything else?

Thanks a lot, Paulo

[Tall_Allen in reply to Paulo1968]

sos spedra? if you are unable to get erections yet, consider tri-mix injections.

[Paulo1968 in reply to Tall_Allen]

Erections are not firm and don’t last .,, but I had one pill only of spedra. I am told it is all so early!

Honestly I wanted to sort the urine leakages first.

I am doing both anyway, but I am not relaxing in sex yet because of the leakages ☺️

[Paulo1968 in reply to Tall_Allen]

Hi Allen, another question. What is your view of the 1mm surgery margin being positive in the right apex? I mean, I read a study that says that the cancer recurrence is more likely when margins are positive even small. This is different from what my doctor said! Do you have any thoughts about this?