← Return to PET/PSMA / Decipher test results back (0.69). Radiation/hormone now.

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@bolovino

Hi all..Im 71 .....My PSA has been climbing slightly higher for the past 7 years. It began around 4+ and now, fir the past few years is hovering between 9.2 and 10.8...May of 2022 I was diagnosed with prostate cancer and a boipsy was performed. The results were a Gleason score of 6....lowest....So, at that time, we, my Urologist and family, decided to monitor my PSA every three months. It has been holding steady, again, between the above values I mentioned.
Two weeks ago I had a second biopsy, a focal biopsy, and the results were equal to the first...7 out of 13 tested areas showed signs of cancer...So the cancer is holding steady...not growing and/or spreading. At a recent appointment with my Urologist, to discuss the biopsy results, I mentioned my almost daily concern about it spreading into the nearby lymphnodes and metastisising..is that a word..haha...I increasingly anxious about that happening. We then discussed options...removing the prostate and /or radiation. He discussed with me the effects of both...With the removal it was reduced sexual performance or none along with urine leakage...With radiation it was 4 to 6 months of hormone shots, to reduce the size of the prostate prior to radiation and the effects of the shots.
Are the hormone shots necessary prior to radiation...Are there radiation treatments that can be performed with on an enlarged prostate and not have the hormone shots...What are the types of radiation treatments that are available to treat my low level prostate cancer??????

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Replies to "Hi all..Im 71 .....My PSA has been climbing slightly higher for the past 7 years. It..."

You are a Gleason six. You really don’t want to do anything now. You could have them check your PSA every month, but that’s not normal with a Gleason six every three months is the standard, and if something comes up, it isn’t going to be horrible since you caught it early

Both radiation and surgery are worse than what you have now. If you don’t have hormone therapy after radiation, the cancer can come back sooner vs never. After surgery you usually can’t get an erection.

You need to find a user group where they discuss active surveillance. Some people stay on it for many many years without the cancer ever getting active. Check out Ancan.org for an active surveillance group that meets online. They’re not the only one there are others. Talking with other people and similar situations can relieve your anxiety.