Prostate Issues

Several years ago my prostate specific antigen (PSA) reading headed north of normal. The first time it happened my routine physical had followed  three days of long bike rides. Several weeks later blood-work indicated it was back to normal.  Before the second visit, I stayed off my bike for several days. The diagnosis was a benign prostate enlargement which meant I seldom slept all night without trips to the bathroom and  sometimes had difficulty completely emptying my bladder. Inconvenient, but a trade-off  I willingly endured to enjoy cycling. My mantra is the quote "I don't ride a bike to add days to my life, I ride to add life to my days."

Recently my PSA was again fairly high, and my doctor suggested seeing a urologist who suggested a prostate biopsy mainly to establish a baseline. I remember him saying if all 12 samples are benign, you might never see me again. A prostate biopsy is a pain in the ass both from a prep and procedure standpoint, but I decided to go through with it. 10 samples were benign, but two showed signs of cancer. On the Gleason score index one was 6, the other an 8. Several of the benign samples indicated simple inflammation which I suppose is from cycling.

Studies show that roughly one in seven men over 65 have prostate cancer. They also indicate that most men with prostate cancer usually die from something else sometimes many years later. I had three options: do nothing except wait and watch, radiation, or robotic surgical removal of my prostate. Radiation and surgery both come with lots of possible side effects/complications. I leaned towards surgery assuming CT and a complete bone scan indicated it had not metastasized.

Those procedures were negative (although a bone scan on someone 73 with 4 total joint replacements is an interesting side read), so I scheduled surgery for mid-June. The good news is I should be cancer free, and my step-son is coming from Phoenix to visit and help out for a few days. The bad news is not being able to cycle for up to 8 weeks. So I'll have to delay "adding life to my days" for a while, but sometimes trade offs are needed.

I also just had a consult with Andrew Johnston to get nutrition and exercise advice that will prepare me for not only pre-surgery but recovery post-surgery. The doctor gave me one exercise which I wasn't doing correctly. Andrew corrected that and filled my plate with lots of fundamentals. I am truly grateful to have Andrew as a friend and consultant.