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Newly Diagnosed: Removal vs Radiation

Prostate Cancer | Last Active: 4 days ago | Replies (62)

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@gently

Survivor 5280,
You need at least two oncologists. One radiation oncologist and one surgical oncologist. At least! Set the urologists aside for now.
There have been advances in radiation oncology that could benefit you.
I would suggest that you consult with someone who is using MIRidian Viewray. Radiation would be five treatments over two weeks.
The side effects can happen with surgery or radiation. With radiation you need smaller margins--the area beyond the tumor.
Radiation is now being done with lower dosage and protection for the vulnerable nerves so important for urinary and sexual function.
Your Decipher score suggests that ADT might advantage you. If that is so, you'll have a couple of months to talk to more oncologists.
I'm glad you found Mayo Connect. I think that this site has some of the very best, most experienced prostate cancer survivors.

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Replies to "Survivor 5280, You need at least two oncologists. One radiation oncologist and one surgical oncologist. At..."

@gently @survivor5280
This is very helpful information from @gently. A lot of great advise here.

The side affects of having surgery really need to be told to you as can be very different with every patient. As @gently mentioned the great improvements in radiation treatments has really changed how the cancer can be treated and lessoning damage to surrounding organs and tissues.

You can have sugery after radiation it just requries a very skillful surgeon and thus you get the feedback from most urologist about the hestation of sugery after radiaion.

I would not label myself as the most experienced prostate cancer survivor. I had 30 rounds of proton beam radiation and yes did have some minor side affects that amost all are gone 1.5 years later.
Again hats of to @gently he gave you some really great advice.