In recent months I’ve had a pretty uncomfortable time – recurring bouts of what I now suspect was prostatitis – a bacterial infection of the prostate. Pretty painful and it does restrict your life a tad. Anyway, the recurring condition led my GP to recommend further investigation (despite having had a negative blood test for prostate cancer in April).
So off to Addenbrookes Hospital in Cambridge. Lo and behold, after a series of tests, including kidney scans and all sorts, plus a ‘digital’ examination (sounds hi tec – means a finger up the bum) it was declared that I had a ‘nodule’ on the prostate gland that might well be cancerous.
Me: “I’ve just had a negative PSA test”.
Consultant: “Well, they pick up around 80%, but that means, of course, that 20% are not detected by the test”.
Me: “!!!!!!?”
Next is the biopsy – to see what is really going on. Ten or twelve samples plucked from the prostate by a needle gun – fired (you guessed it) right up the bum. To be fair, they do give an anaesthetic (by poking the needle up your bum, of course). The consultant then inserts an ultrasound probe which guides him to the target area. If you’re old enough to remember ‘The Golden Shot’ on ITV, you’ll get the idea.
“Bernie……the bolt”
Ouch!!!! (x 10) Actually, it wasn’t too bad. And peeing blood for the next week (even more alarming when you ejaculate) is par for the course, apparently.
Bottom line (geddit!) is that the following week I was told that, yes, I had cancer. It’s not the benign variety that most older fellas get, it’s a bit on the aggressive side.
“Here are your options – have a think and let us know which procedure you prefer”.
One of the options was ‘wait and see’ with monitoring of my PSA levels. As this had failed to show up the cancer in the first place, I discounted this immediately.
Next is radiotherapy. Problem is (especially as my prostate is not enlarged) it can damage the bladder and leave you slightly incontinent, and also the lower bowel and anus can be damaged. Oh, and the nerves that control erectile function can be damaged. Nice! And it takes 6 weeks of daily visits to the hospital for treatment. This seems to be the preferred option for older chaps – but what about me? Young, beautiful…..etc….
Basically, I wanted the unwelcome invader removed. In surgical matters I am much influenced by Sir Lancelot Spratt in the 'Doctor' films - "If in doubt - cut it out!".
So my final choice was radical prostatectomy by robotic keyhole surgery (it’s good to have your local hospital at the ‘cutting edge’ – ohhh, not sure I like that term!). Anyway, with luck, they will be able to spare the nerves and not leave me permanently incontinent and impotent.
I discussed my choice with my GP, who said “if I was in your position, that’s what I’d do”. After all the hospital discussions, where they are obliged to make sure that you know the downside of everything, it was good to hear a commonsense answer – even better as it coincided with my own opinion.
Had an MRI scan last week – and it seems local lymph nodes are affected, but it hasn’t gone elsewhere (like the bones) so I should be OK.
One unfortunate side effect is a shorter willie!!!! This is ‘cos they cut the urethra each side of the prostate, and the join it again – and I have been told that ‘ you may think that your penis has become shorter that usual’.
Me: “I always think that – and so does Miss W!”
Consultant: “Well, it won’t come as a surprise then”.
The other bugger is having a catheter and a wee bag strapped to my leg for two weeks after the op – and then learning to pee again….voluntarily.
Other than being sterile, possibly impotent, incontinent and having a truncated willie, I am told that I can look forward to a full and active life!
Well, whoopee.
But this brings me to the Challenge. I’m not sure exactly when all this medical stuff is taking place (during the next few weeks I am told – awaiting ‘phone call). Apparently it can take a while to fully recover. So, for me, the Challenge is a target. If I get on, and successfully complete the crossing, then it will prove to me, yes, I’m fully fit….
And I’ve got my life back.
Labels: Health, Prostate Cancer