Prostate cancer: Anyone had surgery at 3+3?
I have a Gleason score of 3+3. PSA of 9
4 cores of twelve positive. Family history. Father hade prostate cancer and had seeds, lived till 90 with complications and Cather last few years. Surgeon tells me they never do surgery on 3+3, but probably need it in 1.5 yrs. Up here in Vermont options are removal or radiation. Based on history debating removal now than later. 64 yrs old, urologist and surgeon want me to wait. But waiting for what, to get worse? Appears contained to prostate but they don’t want to do anymore biopsy due to double infection. Anyone ever had removal at 3+3?
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No I would not have had surgery earlier since the cancer was very early stage, minimal, and slow growing as per the genetic testing and I wanted to avoid the side effects of incontinence and ED as long as possible. The decision on surgery vs. radiation was easy for me. I wanted the most permanent solution at the right time vs. doing radiation first and if it failed at some point, prostate removal then became a more intensive salvage procedure due to the radiation damage. Hope this helps but it does come down to your own individual situation in terms of your specific prostate cancer stage, % / # of biopsy cores impacted and comfort level.
Thanks for the insights.