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← Return to Life after prostate cancer
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Each person has to make their own decisions, but with Gleason 3+3=6 or even 3+4= 7 I just don't understand why someone would chose surgery with all the side effects, and there is a good chance the cancer comes back later anyway, then they want to do radiation and ADT. Seems to me the treatment is worse than the disease. I am 70 years old, fusion biopsy at Mayo 2/2/24 showed Gleason 4+3=7 in 70% of 6 cores ( out of 23) but my decipher score is only 0.38 so low risk of metastasis, and my PSMA PET showed only a small area, less than 1% of my 50.4 cc prostate as cancer, so contained. I have met with the surgeon, Radiation OC, and Urologist regarding various focal treatments, and I have decided to do Passive Surveillance, in other words no treatment other than the Keto diet, zero sugar and no carbs, it's a difficult diet but I have already knocked my PSA down from 6.62 to 5.12 after only 2 months. Glucose feeds the cancer cells, take it away and they can't live, also reduce glutamine thru vigorous exercise . I have zero side effects other than sugar cravings, and I have zero symptoms from the cancer, and I am enjoying every minute of life to the fullest, as I know it may be shorter in quantity, but better in quality. I take 5mg Cialis daily and it's the only thing that helped with symptoms of BPH plus the added benefit of helping with ED
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yes. I am glad your happy with the decision. I did not give it enough time but still not unhappy. My father passed away at 87 with prostate cancer. He had radiation at 65 and it came back at about 75. He had treatments for his last ten years. My Dr did not agree with removal but told me he could not do nerve sparring surgery after radiation. Best thing to him was to treat as you are. My PSA was 1.2. No cancer had even registered yet. Yet I decided the only way to try and save the nerves and have any chance of the cancer not moving was removal. If it was found outside the margins then I could do treatment. My margins were clear. So I am hoping I made the right decision as far as the cancer is concerned. Leakage is manageable. Impotence has not been important. Of the two, I miss sexual activiity as much as before. So I am trying to do the right thing now with my decisions going forward. One was seeing Dr Wolter at Mayo. I feel better about it. Thanks for the reason and good luck.