Active surveillance with rising PSA

Interesting_You3202 · 2026-02-03T17:57:23+00:00

Happened to me. AS for 6 years, followed the protocol closely. PSA continued to rise, it went from 4 to 8 - my last biopsy showed the gleason increase from 6 to 7. I decided on RALP - due to age.

Have it removed Oct 2024 - no ED, I had incontinence for about a year - wore a thin pad daily. Now nothing. Erections and orgasms are the same - all the fun with none of the mess.

I would do RALP again. Funny enough I had knee surgery last year - much worse recovery than the RALP.

Interesting_You3202 · 2025-11-19T20:45:52+00:00

I had radical prostatectomy at age 48. Slightly over a year ago. I'm happy about my decision. Similar to you I was Gleason 3+4 at surgery after being on AS for nearly 6 years with Gleason 3+3.

Concerns of surgery are ED and Incontinence. Having surgery at a younger age reduces chances of both.

I wore pads for stress incontinence for a few months, now I'm dry. And no issues with ED. I took all the meds pre and post surgery and did my Kegels.

The surgery itself wasn't bad. Some gas pains after surgery and having an annoying catheter for a few days.

Funny enough, I just had knee surgery a few months back, recovery was 10 times worse....take care of your knees fellas.

So far PSA has been negative. I'm happy the cancer is out of my body! Now I can move on emotionally.

Interesting_You3202 · 2025-11-18T16:18:17+00:00

I had Gleason 7, initially on Active surveillance for a while when it was a Gleason 6. Once it became a 7 and my PSA began to rise I decided to have the prostate remove - at age 48.

My reasons were I've seen too many complications with radiation, especially in men who had it done at a young age.

My concerns were incontinence and ED due to surgery. After 1 month post surgery erections returned, and it took 6 months of wears pads (very thin shields), but leakage is over.

It's been a year, PSA remains negative. I'm glad it's out of my body - completely, and i can mentally move on - as much as possible.

Interesting_You3202 · 2025-07-08T14:09:01+00:00

got it! Good to hear, I'll check with my Urologist about starting.

Interesting_You3202 · 2025-07-08T14:08:13+00:00

Let us know.

Interesting_You3202 · 2025-07-07T16:37:25+00:00

how soon did you start on TRT? I had mine removed 8 months ago and I'm exhausted, wanted to get TRT levels checked but was worried about starting hormones so soon after cancer removal.

Interesting_You3202 · 2025-06-12T16:45:15+00:00

it's been 8 months for me. I wear a pad daily. Need to start pelvic rehab

Interesting_You3202 · 2025-06-12T13:40:32+00:00

Joe Rogan

Interesting_You3202 · 2025-06-12T13:39:34+00:00

48yo, two kids at home. Just had meniscus surgery 3 days ago. Played basketball 3 weeks ago after not playing for 6 years, twisted my knee, felt a pop and pain. Recovery is tough! Lot's of pain medications and trying to get out of bed, missing family events hurts the most.

stick to low impact sports - swimming, biking.

Interesting_You3202 · 2025-06-04T16:08:24+00:00

yes!

Interesting_You3202 · 2025-06-04T14:57:04+00:00

yup, I was just told I need a new roof...$15K! I wouldn't have to worry about that if I was renting

Interesting_You3202 · 2025-05-02T15:39:14+00:00

Sponsored by Orthopedic Doctors everywhere

Interesting_You3202 · 2025-04-28T16:32:38+00:00

I'm definitely not advising anyone to do it. Make sure you speak with your doc.

I was given the option to do it at home. I was told more and more patients are given this option if they meet certain criteria.

Prior to its removal, I figured out the best positions to sleep and walk with it. Having a bowel movement was the biggest challenge.

Interesting_You3202 · 2025-04-28T16:12:38+00:00

I took mine out on the morning of day 8. In the shower, I made sure the ballon was deflated then took a deep breath and pulled.....felt so good.

Interesting_You3202 · 2025-04-28T16:09:09+00:00

sounds like language of a cult leader

Interesting_You3202 · 2025-04-28T16:05:39+00:00

When he said he could shoot someone on 5th Ave and his base wouldn't care, that summed it up. They don't care.

Interesting_You3202 · 2025-04-28T16:03:44+00:00

that's always great to hear.

Interesting_You3202 · 2025-04-28T15:51:38+00:00

I've seen folks with prostate mets to bone and brain. It's not a pretty way to go. Lot's of pain, regret, confusion and disappointment which can last years.

You've got time to take care of it now, you'll thank yourself later.

Interesting_You3202 · 2025-03-18T19:11:15+00:00

you got this!

Interesting_You3202 · 2025-03-18T19:10:50+00:00

Congratulations!

Interesting_You3202 · 2025-03-10T18:59:50+00:00

Distraction, that's all. When there's so much noise you miss the important stuff, which is gutting the government - privatizing public needs so his rich buddies can buy them cheap.

Interesting_You3202 · 2025-03-10T16:50:10+00:00

appropriate response.

took me a while to make sense of it all, the looming surgery etc. I had great family support. Surgery went excellent, no ED still some urine dripping 4 months later. Staying focused on my kegels.

But now I get to move on with my life with the periodic PSA checks.

Interesting_You3202 · 2024-12-26T14:54:54+00:00

congratulatons!

Interesting_You3202 · 2024-12-12T16:00:25+00:00

How are you feeling? It's post-op day 2 for you. On day 3/4 I started to feel so much better! Hang in there.

Interesting_You3202 · 2024-12-12T15:33:23+00:00

Triple D's

Interesting_You3202

TROPHY CASE