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Prostate size/measurement confusion
Prostate Cancer | Last Active: 11 minutes ago | Replies (11)Comment receiving replies
@oldoz
Good decision on going to Mayo for testing and treatments. They are outstanding.
Your Gleason score was the same as mine. Asked for a Decipher test if not offered along with PSMA.
You did not list your age. Are you considering surgery as only option. I think your urologist will give you several options to consider.
I was 76 when I got cancer. I chose 30 rounds of proton radiation. My Decipher test showed low risk versus intermediate risk so no hormone treatment was needed. My PSMA was negative along with a bone scan that was also negative.
I am not familiar with prostate sizes. I was told my prostate was not enlarged. If you are considering surgery really do some research on the pros and cons and become familiar with side affects and complications. You can reach out to MCC again on feedback on those who had surgery and those of us that had radiation.
Replies to "@oldoz Good decision on going to Mayo for testing and treatments. They are outstanding. Your Gleason..."
I'm 72. After my initial diagnose (18 months ago) I've gone from wanting it removed, to calming down and doing Active Surveillance. My thought is that my local urologist told me after a biopsy and testing that it doesn't appear to be real aggressive, but although I didn't need treatment right away, it would likely spread in the next ten years. I figured proven advancements in treatment will be coming in the near future, or I might die of something else first. Then I started looking at life expectancy Actuarial Studies. Basically they said a 72 year old average man will live to be 87. Then I read Dr. Walsh's book and the Outlive book by Dr. Attia and started to understand that cancer becomes very difficult to control or cure once it starts spreading, multiplying and mutating. That has led me back to leaning heavily towards a Prostatectomy. I expect I will be making my decision in January once the Mayo doctor gets additional test results. Travel becomes a bit of an issue with extended radiation treatment.
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this has confused me at times as well since neither with MRI or ultrasound can they actually weigh the prostate. I've decided for myself based upon the water volume example that they are the same...........and I look at it as a volume measure. Also that measure is an estimate based upon a radiologist's interpretation of the size of the prostate. It is only as exact as the competence and the experience of the person estimating it. I've also heard that MRI is a more accurate image than ultrasound from image from which to make the volume/size estimate of the prostate.