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Treatment Decision - Radical Prostatectomy versus Radiation Therapy
Prostate Cancer | Last Active: Oct 19 10:23am | Replies (57)Comment receiving replies
I too was Recently diagnosed and now stuck in that frustrating "no man's land" between surgery and radiation therapy. I am 75 years old in very good health, I don’t take any medications for anything. after blood test showed an increase in my PSA to 15 but no concerns about family history. PSMA PET/CT showed no evidence of seminal or lymph node involvement, no metastasis symptoms. initial perneaural biopsy showed Gleason - 4+4 from biopsy; meeting with radiologist this Friday. Like you my initial response was let’s just remove the damn thing.
Replies to "I too was Recently diagnosed and now stuck in that frustrating "no man's land" between surgery..."
I chose RP at Johns Hopkins at age 72 and would do so again.
I have posted details many times, but would add info for you if desired.
Best wishes
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My brother had a Gleason 4+3 and had radiation at 76 1.5 years ago. It seems to be quite successful. 5 sessions of SBRT. What was your Gleason? Did you have decipher testing? Those two things can change what you do. Have you had genetic testing? If you are BRCA2 they frequently recommend surgery.
Free genetic testing here, takes about three weeks and the genetic counselor will call you
Prostatecancerpromise.org
Make sure you don’t select the option for your doctor to be involved, that will delay it a lot.
At 75 many doctors recommend that you do not have surgery, too hard on the body at that age. I know I’m 76 now and quite healthy so I probably could handle it. Much depends on your health.