Tag Archives: prostate specific antigen

Early detection is critical for prostate cancer

By Bruce Stambaugh

I remember the exact time and place when I got the phone call that said I likely had prostate cancer. A biopsy three months later confirmed the preliminary test.

I wasn’t surprised by the news, but I was disappointed. I had hoped to avoid the disease that was in my family’s medical history. My father died of prostate cancer, and a year and a half before my diagnosis, my older brother had had robotic prostate cancer surgery to remove the cancerous prostate.

With this background, my doctors kept a close watch on my situation. When my Prostate-Specific Antigen (PSA) began to rise, my urology appointments went from annual to semiannual.

blueforprostatecancerbybrucestambaugh

Each September, the lamp in my office shines blue in honor of Prostate Cancer Awareness Month.

The PSA test, which requires a simple blood draw, has been the standard for monitoring a man’s prostate health. September is designated as Prostate Cancer Awareness Month, and having a baseline PSA score is an essential guide for healthcare providers to know their patients’ situations, according to the National Cancer Institute.

“Early detection is important,” said Dr. Timothy Coblentz, a urologist in Canton and a native of Holmes County, Ohio. “Men who are caught early with prostate cancer have very good cure results.”

Dr. Coblentz said the PSA screening is especially important for men ages 55 to 69. He said men with high risk factors of family history and race should also be screened beginning no later than age 40.

“There is no doubt that screening for prostate cancer saves lives,” Dr. Coblentz said. His practice is part of the Canton Urology Group, which hosts a prostate cancer awareness meeting on the second Tuesday of each month.

Luis Lacourt of Massillon, Ohio coordinates the group. He was diagnosed with prostate cancer at age 42, or as he puts it, “About 25 years before the average age of diagnosis.”

Lacourt also had a family history with the disease. His grandfather, father and uncle all had prostate cancer. At the urging of his father, Lacourt asked his family doctor to begin PSA testing to establish a baseline.

At age 40, he began seeing a urologist, who happened to be Dr. Coblentz. When Lacourt’s PSA score doubled in a year, the red flag went up. A biopsy confirmed his prostate cancer in May 2012, and a month later he underwent successful robotic prostate cancer surgery.

Lacourt, now 44, is a guidance counselor at Perry High School in Massillon. He is also an ordained minister.

“I believe that everything happens for a reason,” Lacourt said. “It became clear to me that prostate cancer awareness was something I could share as a positive influence to help others.”

With the assistance of a urology nurse with Dr. Coblentz, Lacourt began the monthly support meeting, which is open to all who have had or currently have prostate cancer. He said the emphasis is on sharing and learning, and recognizing that prostate cancer awareness is important.

Lacourt’s proactivity about prostate cancer began immediately after being diagnosed. He organized a Prostate Cancer Awareness night at a high school football game last October.

Early detection of prostate cancer was critical to me. Knowing the disease was in my family raised my risk of having it. However, my baseline PSA level was much higher than my brother’s. His spiked significantly in one year, the biopsy was done, followed by the surgery.

My PSA went up gradually. When it exceeded the standard threshold of 4, my testing and the exams increased, though I had no symptoms that anything was amiss. On May 12, 2011, I had my robotic prostate cancer surgery, and have fortunately since been declared cancer free.

supportgroupbybrucestambaugh

Having a support group to get through the various stages prostate cancer is important both emotional and physical health.

More than two years post surgery, I am doing very well, partly thanks to a support group of other men who have or are fighting the same fight. Kim Kellogg of Millersburg, Ohio invited me to the group. Kellogg was diagnosed with prostate cancer a year to the day ahead me.

“Having an advocate and being an advocate to others is really important before and after treatment,” Kellogg said. “Stay positive, be vocal, ask questions of the doctors and others who have had prostate cancer.”

Being able to share with a small group of others with prostate cancer has made the physical and emotional recovery from the robotic surgery much easier than trying to go it alone. Our group meets about once a month.

Statistically, one in six men get prostate cancer and 30,000 men die in the United States each year from the disease. Those figures alone drive prostate cancer awareness. Excellent resources about prostate cancer can be found from the Blue Cure Foundation and the One in Six Foundation. Both foundations provide excellent information on prostate cancer prevention, and resources for those diagnosed with prostate cancer and living with the disease.

© Bruce Stambaugh 2013

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One year later, all is well

Biking by Bruce Stambaugh

A year after prostate cancer surgery, I am enjoying regular activities like biking with my family.


By Bruce Stambaugh

A year following my prostate cancer surgery, all is well. It’s hasn’t been a totally uneventful recovery. It certainly could have been worse.

I am extremely glad to be able to say “cancer free.” And yet, I do so with humility, appreciation and the realization that too many people never get to utter those precious words.

Men tend to be pretty squeamish even just thinking about prostate issues, much less talking or writing about them. That’s mainly due to the two unspeakable potential side effects, incontinency and impotency. Because of those two potential consequences, some men unfortunately never return to their doctor once they have been diagnosed with prostate cancer.

Father and sons by Bruce Stambaugh

My older brother, Craig, my late father, Richard, and I all had prostate cancer.

I wasn’t surprised at all when I received the word that I likely had prostate cancer. My older brother had had robotic prostate cancer surgery 18 months before my own diagnosis. Our father had died of the consequences of prostate cancer after a 17-year battle.

It was this family history and the marked vigilance of my good doctors via annual, then semi-annual prostate-specific antigen (PSA) testing that kept the possibility of having prostate cancer at the forefront of my medical exams. I am forever grateful for that watchfulness.

In the months before and after the surgery to remove my cancerous prostate, I received invaluable advice from friends and strangers alike regarding their personal experiences. I also read and researched as much as I could.

Veggie pizza by Bruce Stambaugh

A healthy diet is essential to good health, especially if you have or had cancer. This homemade veggie pizza is both colorful and healthy to eat.

Months after my surgery, a government sponsored panel recommended that regular PSA tests be discontinued as a way to monitor for prostate cancer. That conclusion was based on what was determined to be an overuse of the test and subsequently a high rate of prostate biopsies.

Without either the PSA tests or the conclusive biopsy, I could only guess today whether I had prostate cancer or not. I exhibited no symptoms. When my PSA steadily rose over the course of nearly two years to beyond the danger threshold, I was given a relatively new medical test, called PCA3, that was 90 percent accurate whether it returned negative or positive.

I remember exactly when and where I was when I received the call that my test was positive. It’s the kind of news that one never forgets, like where you were on the morning of September 11, 2001 or December 7, 1941. This was my personal 9/11.

Yet here I am today, alive and well and steadily overcoming the after effects of the surgery. Last November, I had a non-prostate related second surgery that dramatically impeded my recovery. True, left untreated the prostate cancer would not have killed me by now, perhaps never.

Grandchildren by Bruce Stambaugh

This picture was taken just three months after my da Vinci surgery. My wife and I were already traveling with and enjoying the grandchildren.

The biopsy determined that my cancer was the same moderately aggressive type that my brother and father both had. I leaned heavily on my older brother for advice, especially once I decided to move ahead with the robotic surgery, called da Vinci. It’s a surgery that is less invasive, less painful, causes less blood loss, has a quicker recovery than regular radical surgery, and focuses on nerve sparing to lessen the manly issues of being impotent and incontinent. Implanted radioactive seeding or direct radiation were my other options, both with similar long-term side effects that I deemed undesirable.

Through marvelous treatment and care by my doctors, and proper diet and exercise, I have survived. At this point in time, I am ahead of the curve on the two “big” side effects. They are only occasional and manageable inconveniencies. With the cancer out of my body, I don’t ever have to worry about prostate cancer again. No medical test can measure that satisfaction.

I cherish the words “cancer free.” I only wish every cancer victim could say them. Until then, I’ll keep telling my story to whoever will listen. If doing so helps save just one life, it all will have been well worth it no matter what the experts say.

Dewy web by Bruce Stambaugh

Being cancer free, I try to cherish whatever each day brings, even the dew on a spider’s web.


© Bruce Stambaugh 2012

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