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Conflicted/Confused, any Guidance/Advice out there?

Prostate Cancer | Last Active: Mar 31 2:33pm | Replies (72)
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@batsam10

Thanks for sharing your story. And I’m sorry to hear what you are going through. I will be bringing the information you shared to my next appointment this week. Most everything I have read says both treatments can cause ED but the surgery is immediate. The only thing I’m thinking with surgery is it seems like you have a better shot of getting all the cancer out if it’s contained.

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heavyphil | @heavyphil | Mar 13 9:35am

Hey buddy, the truly unfortunate thing is that NO testing can guarantee that it is defined only to the prostate. Even ONE cell that gets out can set up shop and start the whole thing all over again.
I had an MRI and a PET before my surgery ( had to pay 7K out of pocket for the latter) and both showed no spread. My surgical pathology slides showed no spread and negative margins….yet here I am facing recurrence.
The only thing surgery provides as initial treatment is to be able to have radiation and ADT if it recurs. VERY difficult and ill-advised to have surgery after radiation.
So that greatly impacted my decision and I am glad/sad with my choice. And surgeons and radiologists both have bad days so the human factor is enormous….It’s gut wrenching for sure!!!

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