Evaluating right now. Can those of you that have selected surgery share some success stories? Seems we don’t hear about those as much. Thank you very much. Just getting info right now as I decide.

Hi Team,

I will have RALP on Dec 11th and am wondering how the incontinence afterwards manifests.

Is it like when you have a full bladder and can't hold it anymore, so the dam breaches and you have a squirt or flood?

Or is it more like you just leak without noticing until you get the wet feeling around your junk?

Any insights are welcome.

Thanks in advance.

EDIT: I am more interested in what it feels like. As in the sensation. I am prepping for the surgery for 6 months at this stage and researched remedies and recovery, but how the incontinence actually manifests/feels is harder to get info on.

Good afternoon. Briefly, im early 60s first diagnosed with PC in 2017 ( Gleason 3+3) and then with Kidney and bladder cancer in 2023. Evicted prostate in 2017 and left Kidney in 2023.

After the prostectomy my PSA was never zero. Went to .02 and stayed there for years. Then a couple years ago it started doubling every 8 months, on average, and my urologist said they likely didnt get all the cancer. Ok, no sweat yet.

Finally got to 0.25, very, very low but high enough for a PSMA PET scan. So we did that. And they found a spot in my right hip socket area with a strong suspicion for PC. Could be something else, but with the rising PSA I'm thinking cancer. But here's the thing... a Gleason 3+3 shouldn't metastasize almost ever and there is no other PC detected. So did it learn to walk? Goofy.

My urologist is out of town until December. I've Googled my options (never Google your options, kids, it says I've 18-24 months at best 😶) and have learned enough to know a bone doctor and an oncologist will likely need to be consulted along with some radiation (couple of flavors to choose from) and some side pills to help with bone density and treatment.

I'm already odd enough the University of Colorado has me in an open ended study for urinary oncology, so this is kind of par for the course. But have any of you seen or experienced this sort of thing?

Hi - also pretty new to this group. Recently diagnosed with Gleason 2 3+4, 10% 4 and low density. I'm awaiting genomics testing results. Surgery seems pretty scary, as I do seem to bleed a bit after procedures (biopsy and colonoscopy) - but getting that tested as well. Other key factors for me are I'm 70 years old, so if I am able to actively monitor, I might lose Option of surgery down the road. I am in good health and very active and my weight is lowest in many years (164 lbs. and I'm 5'10") My prostate size is also 70 grams, so again, if I'm going to get surgery, now might be the time. Also, surgery would clear up issue of having to take medicine to pee better. My Uncle is 101, and he had Brachy 20 years ago and is still going strong.

Afternoon - hopefully im worrying over nothing (but I guess that's what everyone says)

I dont know of family history as my father and grandfather both past at the age of 47 due to heart disease.

Im pretty active 51yr old, I go to the gym 4 times a week and walk 12k steps a day - done Triathlons/ ironman and marathon swims in the past.

25/9/26 - I went to a private doctors for Fatigue and achy joints elbows/wrists & Knees. The doctor recommended a blood test with PSA.

26/9/26 - PSA results 4.9 and have been referred to Urology. (I was told that was high)

5/10/26 - Went to see consultant and had DRE and he thought that was fine (I think)

8/10/26 - PSA test done again.

20/10/2026 - PSA ReTest results were still high today 4.3 (they were 4 9), so having MRI tomorrow 🤞

29/10/2026 - MRI results back Consultant said I have a suspicious area / dark area (didnt look great on screen) Could be cancer - might not be.

Im now going in on the 3rd Nov for a Template Prostate Biopsy under general annesetic.

Very nervous and worried about the outcome - stress levels are through the roof.

What's the Template Biopsy like and how long for results normally?

Thanks everyone for any advice.

Mark

I’ve read some pretty convincing information that if a man was taking some strong antibiotics about 30 days before a blood test it could throw off a PSA test. About 30 days before my test I was briefly hospitalized with post viral pneumonia. I took both amoxicillin and azithromycin. Could this be the cause of an increase in PSA. BTW 68 yo.

EDIT: A thousand pardons I had my information mixed up it was not the antibiotics it was that with the pneumonia only 30 days prior my body was still trying to get over the infection. Again, my deepest apologies as I’m just a little discombobulated over the rise in PSA. It’s risen before and then gone back to normal when I was 65.

My father's PSA went way down after a year of Lupron, but suddenly he experienced aggressive cognitive decline. They thought it was a stroke at first. He is confused, having trouble with words and very emotional. Now it's a waiting game to see if things will get better once the drug is out of his system. (Which looks like it could take 4-12 months!)

Has anyone experienced this? Is there medication to speed this stage along or help with the side effects? Thanks for sharing any info we might be able to bring to his doctor. 🙏

I’m hoping someone has some insight.

45/M. 3 1/2 weeks ago went through RALP with some nerve sparing. Lost one but kept the other. Since recovery things were going well. Very little leakage,sore but healing wounds, no erections. Very happy.

Saturday night we walked out two small dogs. Had a few chicken salad sandwiches for supper, and sat down to watch some Crystal Lake.

All of a sudden just laying on the couch I get a twinge that turns into a spasm. I couldn’t walk down the stairs. I waited it out then went for a shower. Happened again in the shower. Got dressed feeling off, got a heating pad and sat on the couch, I was good for about 30min then laid on my left side and was hit with the worse one yet.

Pain starts at the tip of the penis, down to my recall’s, across pelvic floor to butt hole and as the worsen my abdomen where I have my surgical would.

Worse pain I’ve ever experienced. Spent the night in the ER filled with Dilauded, Tramadol, even some fent. Had piss text, blood text, X-rays and 2 CT scans. No real findings. Small amount of puss in urine so started antibiotics.

I was sent home a few hours ago and I’m in bed rest l. Pain meds and Ativan for the spasms. They barely touch it.

Looking for any first hand advice.

I underwent ldr brachy 10 years ago with minimal side effects but now in the past few months have developed problems establishing a stream and not completely emptying my bladder. I'm wondering if this is a latent side effect from treatment or just another sign of old age creeping in I'm 72 now.

Anyone experience this? What did you do about it?