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@paul28

Thank you to both @russ777 and @northoftheborder

I really want to take the path of least side effects in a combination of both medication and treatment, i.e. orgovyx + radiation, in my case.
Isn't that what everyone wants but seldom achieves with damage to the bladder, rectum, anus and more?
What are thoughts on just having my prostate removed while all cancer is still contained within?
I know there are undesirable side effects with prostatectomy also but should it be a consideration?
Iam 74, not obese or diabetic, no other health problems other than already stated.
I appreciate your responses!
PAUL

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Replies to "Thank you to both @russ777 and @northoftheborder I really want to take the path of least..."

It's a very personal decision, and I think either radiation or a prostatectomy would be a reasonable choice. As I mentioned, there's no advantage either way for your future survival odds (at least, that's what my oncology team told me, though surgery wasn't an option for me anyway at my stage).

Unfortunately, there's a small but non-trivial chance that some cancer has already escaped, so removing the prostate isn't a guarantee that it won't recur. I'd make the decision (in consultation with your medical team) solely based on expected side-effects and how well you tolerate surgery and anesthetic.

I would get the prostate removed while all cancer contain in it . Safe bet . Keep active and side effects are manageable . God Bless.