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Apprehensive, and asking for your advice pre RP

Prostate Cancer | Last Active: Feb 14 3:12pm | Replies (60)
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@rsplittgerber

This is really great information! One nagging question that I have focused on is nocturia. One of the health issues that may? result from having to get up 3-5X every night is risk of dementia, heart disease etc. from lack of quality sleep according to the Sleep Foundation. For me, that 3-5X every night frequency happens (according to the Urologist) because I can't completely empty my bladder due to the BPH enlarged Prostate reducing both the flow and bladder capacity. Is there perhaps a benefit to choosing the RP route and reducing or removing those urinary constrictions caused by the Prostate?
This is an amazing Forum - wish I'd discovered it earlier...

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Replies to "This is really great information! One nagging question that I have focused on is nocturia. One..."
michaelcharles | @michaelcharles | Feb 12 4:11pm

Well, not sure that I would promote RP as tx for nocturia. And maybe my nocturia had underlying causes different from yours.

At 72, I chose RP, and would choose it again, for the removal of my G 9 cancerous prostate, and the possibility of a really long-term "cure".

And as has been noted, surgery first gave me the ability to have salvage radiation treatment when I had immediate BCR after first postop PSA of .19

Thankfully, my 1st PSA following salvage tx was undetectable (< .02). Somewhat nervously looking forward to my next PSA later this month.

However, before RP, I needed to use the bathroom every 1 - 2 hours for years. No problem going back to sleep, but it was very annoying and probably not healthy. If I woke up and looked at the clock and it was 2 hours since I used the bathroom, I was actually happy.

Since my RP in August 2022 my nighttime bathroom habits have improved dramatically, and particularly over the last 4 - 6 months.

My salvage tx from February to June may have delayed my improvement, but honestly I now am sleeping 3 - 5 hours at a stretch at night. That is a significant improvement for me.

Best wishes to you and all.

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