John Sheraton keeps harping on these things -
He keeps telling you to go to
www.nccn.org. If you are a man and you have not been there yet, he is absolutely correct - Go, and go now.
He wants you to go to a good clinic for prostate problems, and not to trust your local Urologist. Again, absolutely correct. My suspicious nature tells me my first Urologist was only in it for the money. I am not perfect and I could be wrong about him. What I am not wrong about is that there was so much difference between the first and the second, that it was a quantum difference. There was a generation of technology between the two. I suspect it goes across the entire spectrum of Urologists. This field is moving extremely quickly, and survivability is changing faster than the statisticians can keep up. (I am a member of a 1000-man study to compare relative risks of outcomes). Get good, current information. Do as John says, go to a clinic.
John and I differ a bit on PSA and Gleason scores.
I cannot remember, nor can I locate the cite now, but I ran across a suggestion that sometimes, Prostate cancer can reduce the total PSA level.
A very low level of Free PSA along with a low level of PSA can be a guarantee of cancer, as it was in my case, not a free pass. And I had cancer. Nothing theoretical about it. I had a cancer with a medium growth rate.
Also, a relatively high PSA, along with a high Free PSA level can be quite normal and not be an indicator of cancer.
The Free PSA is not yet incorporated into the Gleason score.
Thank You, John, for the concern and the interest.
The Foley catheter is now out. It did not hurt nearly as much as I expected.
Every day brings less pain in motion. The staples were beginning to itch. It was driving me crazy and I am glad to have them out.
I have much more control than I expected. Still wearing Depends, but every day gets a little better. Still exercising the ol' Kegel muscles. Forty times a day is the minimum prescription.
No Mahogany yet, but, heck, the surgery was only ten days ago. Even if no nerves were cut, they were all bruised. Time is the prescription for that. I had what I considered to be bruising in my lower abdominal area, basically from my belly button down to my crotch, for the first four or five days. It took me a while to recognize it.
Please, if you have any concerns, get a PSA and Free PSA, and if you are over 50, do it every year. Prostate cancer is rapidly becoming the most curable cancer, with lots of options.