I think you missed my post on this being the 30th year anniversary Johns Hopkins has been performing RRP. I bought the paper and actually sent Dr. Walsh and email asking him to clarify the results. The paper stated and he confirmed that no patient with 3+3=6 organ confined, like you and I, in their 30 year period had died or even developed metastatic PCa. Some had BCR but never progressed.
Don't worry, you've got another 22 years of at least recurrence free survival.
These graphs go to 25 years, but the paper said they had patients out to 30 years.
Walsh told me that patients like us could expect 100% survival and none had even developed metastatic PCa after 25-30 years followup from RRP. This is in contrast to the Swedish study that just came out where mortality was %15 at 30 year for 3+3=6 untreated PCa. patients. Looks like surgery pays off for us young guys. Also, worth noting is that 10 years of this study the patients were diagnosed in the pre-PSA era. So, even those people who were diagnosed clinically with symptoms and not through PSA did not die or develope metastatic PCa.
https://www.healingwell.com/community/default.aspx?f=35&m=2567831
I'm 4 years out and I have found a study that says if you are <0.04 at 3 years you can safely go to testing every 2 years instead of annually. I'm thinking based on Johns Hopkins data, why bother testing at all....
Oh yea, you have a 99.1% chance of having an undetecable PSA at 10 years. I have read studies that if you get to 15 years undectable it is very, very, very rare after that to have BCR. But even if you do you have at least another 15 years of metastatic free survival or longer for all they know. That is as far out as the data goes right now.
Post Edited (ChrisR) : 12/26/2012 6:41:48 AM (GMT-7)