A summary of my history:
Feb2016, PSA 2.9, referred to urologist cause I was taking 2 mins to void my bladder.
Mar 2016, digital exam declared ok but advised to have bladder neck incision to sort slow flow. Bad prostatitis after digital exam.
25Oct2016, BNI surgery which resulted in slightly better flow.
Late 2017 some signs of erectile dysfunction.
29Jan2019 referred back to urologist after 3 yearly BUPA check up cause of symptoms - ED and discomfort. PSA 4.9.
30Jan2019 urologist appointment. MRI recommended.
7th Feb2019 MRI completed and blood test. MRI showed small prostate 24cc, large bladder 828ml void, and no concern re flow rate - not less than 10ml/s. MRI assessed PIRAD 3. Testosterone was normal at 20. High PSA from small prostate led to biopsy decision.
27thMarch2019 MRI TRUS fusion perineal biopsy. 14/22 cores showed cancer. Gleason 3+4, with 4 at 15%. Difficulty urinating post biopsy.
13May2019 da Vinci robotic assisted radical prostatectomy. 3 additional biopsies taken from urethra during surgery cause it didn’t look right and concern re apical positive margin.
post RARP histopathology confirmed ‘more histology than anticipated’. Small prostate but packed with disease. Gleason 3+3/3+4. 2 out of 3 additional urethral biopsies showed invasion into urethra, and 2 positive margins at 2mm and 3mm.
3rd July2019 post operative PSA at 1.89. Surgeon lost for words.
8th July2019 PET CT PSMA Scan - all clear. Repeat blood test PSA at 1.90.
July. Continence is excellent, and erectile function good with Cialis 5mg.