Post op progress

It is now three weeks since my robotic surgery. I still wear the diaper at night but I've had minimal leakage. I've changed to light pads during the day and now use 3 per day to stay dry.

Pathology report states: Prostatic adenocarcinoma, Gleason grade 4+3 =7. NO EVIDENCE OF EXTRAPROSTATIC EXTENSION AND THE MARGINS OF RESECTION ARE UNINVOLVED.

Extraprostatic extension: absent

Seminal vesicle invasion: absent

Pathologic staging: pT2cNXMX

Margins: uninvolved by invasive carcinoma

Perineural invasion: present

Venous invasion: absent

Lymphatic invasion: absent 

Thus far I've had no sexual desire or response. My post op appointment with the surgeon is February 20 so I'm hopeful of further progress.

Comments please!!!

First congratulations and welcome to the other side. Your path report is excellent. The gold standard for all the words we want to hear on ours. No evidence, not involved, absent- really great words to see written down. The Perineural invasion: present is common, almost every path report will say that. The PIN is in the nerve sheaths inside the gland, not the nerve bundles outside. Almost any cancer in the gland will spread to the nerve canals, as that provides growing room.

ED: Still a little early for most of us guys, just 3 weeks. Your doctor will probably have you on a 3 month checkup schedule for the immediate future, so ask him his plans for ED rehab at your next checkup. Remember, sexual desire is mostly in the head, sexual response is in the nerve bundles in the abdomen. If you have nerve sparing surgery, then it will still take some indeterminate amount of time for them to recover from being moved, etc, during the surgery, so time will tell. All in all, you seem to be on the average time line for milestones during your recovery.