← Return to Treatment Decision - Radical Prostatectomy versus Radiation Therapy

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@mesaaz7

I think everyone's experience, condition and situation is different so I strongly urge everyone to find experts they trust and ask these questions of them. But for your reference on #1 I was told this by 3 urologists including a surgeon and radiation specialist. My brother experienced this and will wear two drainage bags for the rest of his life. On #2 I was told this by 3 urologists also and while the "scraping" terminology may not be common this is a very common procedure that must be done before radiation according these three highly regarded doctors. Regarding #3 I cannot speak from experience but I was told by two radiation specialists at different locations that a surgeon be required . . . however it is outpatient and I understand you not fully anesthetized. Every doctor has described this as surgery which is why I referred to as minor surgery.

I appreciate your response in that everyone should get as much information from people actually going through the experience as possible. My biggest concern with your response that because you have not heard of healing well you assume it is not a critical issue in making a decision on treatment. Not attributing blame as my first 3 doctors did not mention it when discussing treatment options. My suggestion is that you investigate further and ask experts the question and you will find that this is a critical factor everyone should consider in making their decision . . . not saying radiation treatment is not the right solution for yourself and many but it should be part of an informed decision. I hope you take my response in the positive manner intended. I spent many weeks bedside with my brother in hospitals of the last 10 years because of this issue so it gets me a bit wound up.

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@jeffmarc, all,
I should clarify the healing issue I am referring to is not healing from radiation treatment so fortunately it has not been an issue for you and probably/hopefully never will. The issue is that the tissues ability heal is greatly degraded when exposed to strong radiation treatments. So the concern is that if you have radiation treatment on your prostate and later have to cut into it may not heal properly. Of the degree tissue degradation will be a function of the treatment type and strength. But it should be a factor of consideration. In my case I could have chosen radiation but as stated I would need to get any surgery and healing in advance of the radiation to avoid high risk of serious complications as serious as ending up with a colostomy bag. Hope this clarification is helpful.