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Doctor insights on: Blood In Urine A Month After Radical Prostatectomy

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After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer comes back?

After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer comes back?

It can: Risk of biological failure, when the psa blood test continues to increase or drops and then increases above what it originally was, is dependent on cells leaking outside of the prostate capsule. This risk is somewhat predictable based on original psa, t stage, and gleason score as well as how much tumor was in the prostate. Xrt after surgery tells me there was concern about leftover cells. ...Read more

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Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer come back?

After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer come back?

Possibly: The risk of this depends mainly on the pathologic findings (ie, stage and gleason grade) at surgery as well as preoperative psa. There are "nomograms" or calculators of this risk available to estimate such risk. Nomograms.Mskcc.Org/prostate/salvageradiationtherapy.Aspx is one which you might find useful. ...Read more

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Could a man father children after radical prostatectomy?

Could a man father children after radical prostatectomy?

Not by intercourse.: During a radical prostatectomy, the prostate & seminal vesicles are removed, and disconnected from the vas deferens on both sides. There is no longer any ejaculate with orgasm. To father children, sperm must be recovered from the testis and ivf performed, or previously banked-sperm used. ...Read more

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I had a radical prostatectomy in which one nerve was removed. I will have follow-up radiation. I am 57 . What are my chances of regaining potency ?

I had a radical prostatectomy in which one nerve was removed. I will have follow-up radiation. I am 57 . What are my chances of regaining potency ?

Poor: Unfortunately, if your entire nerve was removed and you had good function before, most surgeons tell there patient that you have a 50% chance of regaining function. Once you have radiation, the odds will slip even more. Find a urologist who will be aggressive in helping with your sexual rehabilitation after surgery. ...Read more

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What is the recovery time after a radical prostatectomy?

What is the recovery time after a radical prostatectomy?

Varies. : After surgery, patients are admitted with a catheter in place & often a pelvic drain. Hospital stay is 1-2 days, & the drain is removed usually at discharge. The urinary catheter is removed at 5-7 days. Almost all men at this point will experience urinary leakage & erectile dysfunction, which improves with time. At 6 weeks, the incision site should be healed and all activity restrictions lifted. ...Read more

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What's penile shortening after radical prostatectomy?

What's penile shortening after radical prostatectomy?

From scar tissue: When you remove the prostate you are taking away a piece of the urethra and then sewing it back together. This can cause some scarring which may inhibit penile length for more: www.Peedoc.Com @thepeedoc. ...Read more

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For how long will I have incontinence after radical prostatectomy?

For how long will I have incontinence after radical prostatectomy?

Hard to tell: Your age and health partly determine this. The other factor is how well the surgery went. If your surgeon has done hundreds (preferably 1000s) of cases, you have a good chance to regain your continence within weeks to a few months. ...Read more

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Need expert advice. After radical prostatectomy is there chance for psa rise?

Need expert advice. After radical prostatectomy is there chance for psa rise?

Yes, ...: Some one third after radical prostatectomy(rp) may have "rising psa" over time, which suggests three potential conditions: local recurrence; microscopic spread to nearby tissues, notably regional lns; spread to far sites, such as spine, pelvis, ribs, and lungs. Remember: the report of no metastasis from bone scan and ct before rp does not guarantee no spread in 100% because these tests can not .. ...Read more

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Does a rising psa after a radical prostatectomy mean cancer?

Does a rising psa after a radical prostatectomy mean cancer?

Yes: This is called psa recurrence. Depending on pathological factors you can predict the chances. Radiation and or hormone ablation are often next treatment steps if surgery was first treatment. ...Read more

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Dr. Michael Yu
39 doctors shared insights

Radical Prostatectomy (Definition)

Radical prostatectomy refers to complete removal of the prostate specifically for cancer. This also involves removal of the attached seminal vesicles and part of the vas deferens. It can be done with or without "nerve sparing" depending on anticipated severity of disease. Other forms of prostatectomy are typically subtotal (e.g., turp) intended for relief ...Read more


Dr. Michael Michaels
614 doctors shared insights

Blood In Urine (Definition)

Hematuria is the presence of blood in the urine. When you can see the blood, it's called gross hematuria. When the blood can only be seen under a microscope it is known as microscopic hematuria. Hematuria can be caused by kidney stones, kidney infections, urinary tract infections, an enlarged prostate, cancer, certain medications, and ...Read more