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A little embarrassed but appt with URO not until next week.. But my husband has noticed that when he does number one and pass gas, he wipes himself and there is Forum on the tissue like he did number two but he hadnt. Not alot but some is there. He said after surgery this was happening but it went away. Now it's back and seems more frequent. Any ideas. 45 yr black male..
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Wife posting - DOB 5/76- Black Male
PSA Hist:
1/2018 2.66
1/2019 3.39
Retest 2/019 3.04
MRI 3/2019: 3 Lesions identified (1) Pirads 4 & (2)Pirads3
MRI Guided Biopsy 4/11/2019: G6(3+3)
RMB: 10% of 1 core
RMM: 10% of the tissue (fragmented specimen).
RMA: High-grade prostatic intraepithelial neoplasia.
RLB: 25% of 1 core.
RLM: 70% of tissue
RLA: 50% of 1 core.
LMB: 80% of 1 core.
Lesion #2, in 3 of 3 cores, 80% of total tissue
RALP 6/5/19 USMD Arlington Dr. R. Parham
Cath 6 days, bladder spasms, cath back in for 5 days
No incontinence/Minimum ED (using Sildenafil as needed)
Final Path 6/11/19: G6(3+3)
SV, BNI, Adipose Tissue, ECE, Margins, PNI, LVI, LNI(0of8) All Negative
PT2N0 ~10% involved by tumor
Quest Diagnostics uPSA:
9/7/19 (3mths) <0.02
1/4/20 (7mths) <0.1 & <0.02
1/20/20 Annual physical <0.02
6/6/20 (1yr) <0.02
12/5/20(18mths) <0.02
6/5/21(2Yr) <0.1
1/17/22(31mths) 0.009-Clinical Path Lab ultrasensitive
6/9/22(3 years)??
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Honeybun,
I'm not sure what "Forum" is but assuming fecal matter, just in case "Forum" is blood though make an appt ASAP.
If fecal matter, has his diet changed where it might be a cause? Or, is your hubby straining to urinate and somehow forcing his bowels?Age Dx'd 57
PCa History: Father, Uncles, Grandfathers
Oct16 Bx: Gleason 4+3 Grade Group 3 w/PNI
LB: 4+3 (60% pattern 4) CI 30%
RA: 3+3 CI 60%
RLM: 3+3 CI 10%
RLA: 3+3 CI 10%
Jan 2017 DaVinci - Dr. Grant Taylor - Pathology = pT2c or pT3a; Gleason 4+3; Weight: 42g
Jun 2019 AMS800 installed, Jul 2019 activated - Dr. David Rapp
ED: Moderate
(Note: All PSA tests prior to Jun19 were done by LabCore)PSA_TESTS
Apr16-5.10
Jul16-4.70
Aug16-5.13
----Surgery----
Mar17<0.01
Jul17<0.01
Oct17<0.01
Jan18<0.01
May18<0.01
Nov18<0.01
Jan19<0.01
Jun19<0.02
Nov20<0.10
May21<0.10
Apr22<0.10 -
No blood, just fecal. Damn spell check changed it to forum. Google review and appears fecal incontinence but I'll call the Dr. Gonna have him start his kegals again. He had stopped after getting full continence back. He said it only happens when he passes gas when he pee.Wife posting - DOB 5/76- Black Male
PSA Hist:
1/2018 2.66
1/2019 3.39
Retest 2/019 3.04
MRI 3/2019: 3 Lesions identified (1) Pirads 4 & (2)Pirads3
MRI Guided Biopsy 4/11/2019: G6(3+3)
RMB: 10% of 1 core
RMM: 10% of the tissue (fragmented specimen).
RMA: High-grade prostatic intraepithelial neoplasia.
RLB: 25% of 1 core.
RLM: 70% of tissue
RLA: 50% of 1 core.
LMB: 80% of 1 core.
Lesion #2, in 3 of 3 cores, 80% of total tissue
RALP 6/5/19 USMD Arlington Dr. R. Parham
Cath 6 days, bladder spasms, cath back in for 5 days
No incontinence/Minimum ED (using Sildenafil as needed)
Final Path 6/11/19: G6(3+3)
SV, BNI, Adipose Tissue, ECE, Margins, PNI, LVI, LNI(0of8) All Negative
PT2N0 ~10% involved by tumor
Quest Diagnostics uPSA:
9/7/19 (3mths) <0.02
1/4/20 (7mths) <0.1 & <0.02
1/20/20 Annual physical <0.02
6/6/20 (1yr) <0.02
12/5/20(18mths) <0.02
6/5/21(2Yr) <0.1
1/17/22(31mths) 0.009-Clinical Path Lab ultrasensitive
6/9/22(3 years)??
Comment
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See above.. Speel check changed fecal to forum. No blood, no straining. Life has been stressful. Death of an Aunt.. Father in law was ill. So diet has been pretty bad.. Gonna work on diet and kegals again. Hopefully that'll help.Originally posted by MRJ View PostWife posting - DOB 5/76- Black Male
PSA Hist:
1/2018 2.66
1/2019 3.39
Retest 2/019 3.04
MRI 3/2019: 3 Lesions identified (1) Pirads 4 & (2)Pirads3
MRI Guided Biopsy 4/11/2019: G6(3+3)
RMB: 10% of 1 core
RMM: 10% of the tissue (fragmented specimen).
RMA: High-grade prostatic intraepithelial neoplasia.
RLB: 25% of 1 core.
RLM: 70% of tissue
RLA: 50% of 1 core.
LMB: 80% of 1 core.
Lesion #2, in 3 of 3 cores, 80% of total tissue
RALP 6/5/19 USMD Arlington Dr. R. Parham
Cath 6 days, bladder spasms, cath back in for 5 days
No incontinence/Minimum ED (using Sildenafil as needed)
Final Path 6/11/19: G6(3+3)
SV, BNI, Adipose Tissue, ECE, Margins, PNI, LVI, LNI(0of8) All Negative
PT2N0 ~10% involved by tumor
Quest Diagnostics uPSA:
9/7/19 (3mths) <0.02
1/4/20 (7mths) <0.1 & <0.02
1/20/20 Annual physical <0.02
6/6/20 (1yr) <0.02
12/5/20(18mths) <0.02
6/5/21(2Yr) <0.1
1/17/22(31mths) 0.009-Clinical Path Lab ultrasensitive
6/9/22(3 years)??
Comment
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Part of the surgery is changing the plumbing a lot to accommodate the the space that was created by removing the prostate. I experienced some strange things, At year 3 it appears to have cured itself, but I also had radiation and there’s that.YOB 1957
DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM <5%, Right side negative.
3/6/19. Post surgery Pathology Report - Grade Group 4 Intraductal Carcinoma
T3aNO, <1 mm non focal EPE, GS8, 21 mm uni-focal tumor involved 10% of prostate.
7 Nodes, SV, SM, PNI, and BNI were negative.
LVI and Cribriform pattern present.
Decipher .86 High Risk.
Post Surgery PSA
3/25/19 .03. (25 days)
4/25/19 <.03. (2 months)
5/25/19 <.02 (3 months)
9/10/2019. <.02 (7 months)
11/27/2019. <.02. T < 3 (9 months)
5/19/2020. <.02 (15 months)
11/2/2020. <.02 (21 months)
5/11/2021. <.02 T <3 (27 months)
8/25/2021. <.02 T <3 (30 months)
12/6/2021. <.02 T <3 (33 months)
3 Part Modality Treatment Completed
2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic, Dr. Kaouk, surgery #41 in US.
ART - 7/25/-9/25 2019 (78 Gy, yes, I glow in the dark).
ADT - 5/19- 5/21 Eligard and Casodex.
Comment
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That's what's weird, it happened at fiest but went away and now he said it's happening a couple times a week and started about two weeks ago. I'm wondering if diet.. We have eaten horrible past few weeks with all our family issues.Originally posted by Duck2 View PostWife posting - DOB 5/76- Black Male
PSA Hist:
1/2018 2.66
1/2019 3.39
Retest 2/019 3.04
MRI 3/2019: 3 Lesions identified (1) Pirads 4 & (2)Pirads3
MRI Guided Biopsy 4/11/2019: G6(3+3)
RMB: 10% of 1 core
RMM: 10% of the tissue (fragmented specimen).
RMA: High-grade prostatic intraepithelial neoplasia.
RLB: 25% of 1 core.
RLM: 70% of tissue
RLA: 50% of 1 core.
LMB: 80% of 1 core.
Lesion #2, in 3 of 3 cores, 80% of total tissue
RALP 6/5/19 USMD Arlington Dr. R. Parham
Cath 6 days, bladder spasms, cath back in for 5 days
No incontinence/Minimum ED (using Sildenafil as needed)
Final Path 6/11/19: G6(3+3)
SV, BNI, Adipose Tissue, ECE, Margins, PNI, LVI, LNI(0of8) All Negative
PT2N0 ~10% involved by tumor
Quest Diagnostics uPSA:
9/7/19 (3mths) <0.02
1/4/20 (7mths) <0.1 & <0.02
1/20/20 Annual physical <0.02
6/6/20 (1yr) <0.02
12/5/20(18mths) <0.02
6/5/21(2Yr) <0.1
1/17/22(31mths) 0.009-Clinical Path Lab ultrasensitive
6/9/22(3 years)??
Comment
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I have experienced changes, but attributing what was going on to the surgery, meds, or RT are a bit difficult. In general, I never experienced constipation pre surgery and do today.YOB 1957
DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM <5%, Right side negative.
3/6/19. Post surgery Pathology Report - Grade Group 4 Intraductal Carcinoma
T3aNO, <1 mm non focal EPE, GS8, 21 mm uni-focal tumor involved 10% of prostate.
7 Nodes, SV, SM, PNI, and BNI were negative.
LVI and Cribriform pattern present.
Decipher .86 High Risk.
Post Surgery PSA
3/25/19 .03. (25 days)
4/25/19 <.03. (2 months)
5/25/19 <.02 (3 months)
9/10/2019. <.02 (7 months)
11/27/2019. <.02. T < 3 (9 months)
5/19/2020. <.02 (15 months)
11/2/2020. <.02 (21 months)
5/11/2021. <.02 T <3 (27 months)
8/25/2021. <.02 T <3 (30 months)
12/6/2021. <.02 T <3 (33 months)
3 Part Modality Treatment Completed
2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic, Dr. Kaouk, surgery #41 in US.
ART - 7/25/-9/25 2019 (78 Gy, yes, I glow in the dark).
ADT - 5/19- 5/21 Eligard and Casodex.
Comment
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Obviously discuss this with his uro, but I think this is just a question of a change in diet/eating habits, altered intestinal flora, stress... Are his bowel habits regular or have they changed too? If so, perhaps starting off with a small amount of a metamucil/a fiber supplement. Perhaps some simethicone/gas tablets if he thinks he's been having more gas than is usual. If it continues, then a visit to his primary care doc would be in order. The uro will probably give you advice, too.
DjinLast edited by DjinTonic; 05-14-2022, 08:56 PM.69 yr at diagnosis, BPH x 20 yr, 9 (!) negative biopsies, PCA3-
7-05-13 TURP for BPH (90→30 g) path negative for PCa, then 6-mo. checks
6-06-17 Nodule on right + PSA rise on finasteride: 3.6→4.3
6-28-17 Bx #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 3% RLM
Nodule was negative for PCa
Bone scan, CTs, X-rays: neg.
8-7-17 Open RP, negative frozen sections, Duke Regional Hosp.
SM EPE BNI LVI SVI LNI(5L, 11R): negative, PNI+, nerves spared
pT2c pN0 pMX, G9 (4+5) acinar adenocarcinoma
5% of prostate (4.5 x 5 x 4 cm, 64 g) involved
Dry; ED OK with sildenafil
11-10-17 Decipher score: 0.37, Low Risk:
5-yr met risk: 2.4%, 10-yr PCa-specific mortality: 3.3%9-16-17 (5 wk) PSA <0.1
LabCorp uPSA:
11-28-17 (3 m ) 0.010
02-26-18 (6 m ) 0.009
05-30-18 (9 m ) 0.007 (nadir)
08-27-18 (1 yr.) 0.018 (huh?)
09-26-18 (13 m) 0.013 (retest)
11-26-18 (15 m) 0.012
02-25-19 (18 m) 0.015
05-22-19 (21 m) 0.015
08-28-19 (2 yr. ) 0.016
12-18-19 (28 m) 0.015
06-30-20 (34 m) <0.014
12-30-20 (40 m) 0.037 (?)
03-31-21 (43 m) 0.020
07-13-21(46 m) 0.018
01-25-22(52 m) 0.023Comment
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Thanks Djin. Yea, I'm going to let URO and PD know as well. He said doesn't happened often and only been last two weeks which have been so much going on. We haven't eaten so bad these past few weeks. I'm going to try Metamucil. We have really had too much fried food and not enough vegetables.Originally posted by DjinTonic View PostWife posting - DOB 5/76- Black Male
PSA Hist:
1/2018 2.66
1/2019 3.39
Retest 2/019 3.04
MRI 3/2019: 3 Lesions identified (1) Pirads 4 & (2)Pirads3
MRI Guided Biopsy 4/11/2019: G6(3+3)
RMB: 10% of 1 core
RMM: 10% of the tissue (fragmented specimen).
RMA: High-grade prostatic intraepithelial neoplasia.
RLB: 25% of 1 core.
RLM: 70% of tissue
RLA: 50% of 1 core.
LMB: 80% of 1 core.
Lesion #2, in 3 of 3 cores, 80% of total tissue
RALP 6/5/19 USMD Arlington Dr. R. Parham
Cath 6 days, bladder spasms, cath back in for 5 days
No incontinence/Minimum ED (using Sildenafil as needed)
Final Path 6/11/19: G6(3+3)
SV, BNI, Adipose Tissue, ECE, Margins, PNI, LVI, LNI(0of8) All Negative
PT2N0 ~10% involved by tumor
Quest Diagnostics uPSA:
9/7/19 (3mths) <0.02
1/4/20 (7mths) <0.1 & <0.02
1/20/20 Annual physical <0.02
6/6/20 (1yr) <0.02
12/5/20(18mths) <0.02
6/5/21(2Yr) <0.1
1/17/22(31mths) 0.009-Clinical Path Lab ultrasensitive
6/9/22(3 years)??
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