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Thank you for this detailed response. Lots to review - the data and reality of my situation. I am 84 and fortunately a very healthy 84 (except for the prostate issues). 8.7 years more would be good. I'm greedy so I'd even like to exceed that. I began to read Dr. Walsh's book and one statement stands out. "The prostate gland does much more harm than good and is located in a terrible area that complicates treatment attempts." Anyway, I'll read on. Lots of good stuff to assess.
I'm going to search for the possibility of finding a transperineal biopsy option locally for all the reasons I've read here. With the identification of 2 lesions I assume they will want the grid 12 cores and then 6 or so more from the lesions.
My concern is a sense that I'm bypassing my assigned urologist who I haven't actually spoken to yet.
Replies to "Thank you for this detailed response. Lots to review - the data and reality of my..."
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Stew - I wouldn’t even worry about having surgery - you are too old!🤣
No, seriously….radiation is probably indicated for any man in your age group in lieu of surgery. Cyberknife type treatment (5visits) is an exceptionally precise and successful mode of treatment. Many of the adverse side effects have been mitigated with newer techniques and radiation systems too numerous to list.
Even a high Gleason score - although you might need hormones if a Decipher test indicates it - can be treated with Cyberknife.
You really DO want to avoid surgery if possible, which is why you need to find a hospital that treats many patients with prostate cancer and not settle on what the local docs want to do