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Best Prostate Cancer Treatment Options If You Have BPH Symptoms
Prostate Cancer | Last Active: 1 day ago | Replies (24)Comment receiving replies
How do people know they have BPH, and not something else causing the BPH like symptoms, such as the prostate cancer itself, or bladder issues?
And I guess you can get a BPH treatment after having had radiation? For some reason I thought that was an issue.
Replies to "How do people know they have BPH, and not something else causing the BPH like symptoms,..."
Look into the HOlep procedure for BPH. I've had BPH for about 20 years and took Flomax. 2019 was diagnosed having prostate cancer and been on hormone treatment Lupron. I researched BPH treatments but previous medical plan doctors wouldn't touch it because of the cancer. After switching medical plan and doctors I met with several urologist on best treatment for my BPH. They ultimately concluded HOlep (holeum laser embolism of the prostate}. Procedure is using a laser to core out the prostate of tissue surrounding the urethra and bladder taking pressure off the area and allowing normal urinary function. No surgery. All done through the penis. Excellent statistics with less than 1% incontinence. Outcome was 100% excellent with full relief and normal urination finally. Wish I had this done 20 years ago. Only issue was the catheter required for about a week. I'm 77. Check it out.
@dbee First and foremost -- Always get a 2nd or 3rd opinion of your Biopsy results . I speak from experience . Also refer to Dr. Patrick Walsh's book " Guide to Surviving Prostate Cancer .
A true Gleason Score determines yoour treatment options . I am on Active Surveillance - 80cc prostate volume with BPH . I was initially on Flowmax for several years and have been on Dutasteride for 5 years to reduce the size of my prostate . Be aware that certain medications to treat BPH also lowers your PSA . For example if you are on Dutasteride like me for an extended period -- You have to double your LAB PSA . My Lab PSA is 8.4 my true PSA is therefore 16.8 .
This is critical when monitoring your PSA Velocity. . In your situation , even if you discover your Gleason Score is higher -- Research Monotherapy SBRT 5 Sessions ( 3 one week and 2 the next - alternate days ) . If you choose , you can have Rezum to address BPH and still have radiation .
Good luck -- Rember Don't panic and make a knee jerk , wrong treatment decision . Continue to educate yourself . And finally make a sound , educated decision .
In addition to TULSA PRO . NanoKnife is fast becoming a successful Focal Treatment worldwide , with the exception . The USA is slower .
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Look up IPSS score for BPH or something along those lines. We all fill these forms out one time or another. Not sure if they can do some BPH treatments after radiation or not.