I am a 53 year old physician. Diagnosed with Gleason 3+4=7 Prostate cancer after i had a rising PSA from 3.1 to 5.0, had a DRE by my urologist who had me do an MRI and then a biopsy. Due to my Gleason 7 and the fact that I am young I did a Robotic Assisted Prostectomy on 11/8/2021 which was 11 days ago. Doing very well post op...actually have pretty good urinary control. Waking up pretty dry and just a little leaking when I stand. I am sure that will improve as its only been 11 days post my surgery.
The surgery was not too bad. Went to the best in town..Dr. Timothy Wilson at St. John's Hospital in Santa Monica, California. I highly recommend. Hope to get full function of my little Andrew as I call him, as he was able to preserve 90 percent of my nerve on the left side and 100 percent on the right side. So I am hopeful. My pathology was good news as he got clear margins and the lymph nodes were all negative.
That's my story so far. Good to have a wife to help me through. Good luck to you all. Good to share stories.
Hello everyone. Sorry to take so long to update. 54 year old , Gleason 3+4-7, had robotic prostatectomy at St. John's Hospital with Dr. Tim Wilson on 11-8-2021. So i am one year and 3 months post op. My current PSA was less than 0.02 but i need to repeat it this month so i will do that. No other adjuvant therapy as my PSA has been low. Tumor contained to the capsule and he preserved 90 percent of my nerves.
I had excellent urinary control after 2 weeks post. Was back operating after 2 weeks. (I am a surgeon in Los Angeles). I had to use the pump and Cialis to help maintain an erection. Took 11-1/2 months post op to have a good enough erection to penetrate..so be prepared that it could take a while guys. I take 2 or 3 Cialis pills (5 mg each), prior to sex and now that I am over a year out I can have sex pretty well. Orgasm is good..sometimes pretty strong. After the prostate is removed you can still have an orgasm but there is no fluid to ejaculate so it's just dry. Been no big deal. Happy to be able to have sex after this surgery. It can take one full year or even more to be able to have a successful sex so be patient. I feel very lucky and fortunate to have a good surgeon...but also being relatively young I think was helpful.
You may email me for any questions or advice if you all need. Sorry to take so long to update but hopefully this will help you.
All my best,
Andrew Cohen, MD
Andrew's e-mail address is: andrewcohenmd AT mac.com (replace "AT" with "@")
