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Newly Diagnosed: Removal vs Radiation

Prostate Cancer | Last Active: 3 days ago | Replies (62)

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@retireditguy

On a positive note, I do personally know 2 guys who had NS RARP, one 14 years ago and the other about 8 years ago. Both are continent, sexually active, and neither has had the PCa come back. So there are good stories out there, but as you said I suspect most of those guys just move on and put it behind them. I had NS RARP in late June 2024 so it's too early to tell for me. But before surgery my surgeon at Mayo Phoenix said that for my specific case 3+4=7, T2a, 11 of 19 cores containing cancer, I had a 90% chance of being continent at 1 year and 70% of sexual recovery. Frankly, those were better odds than I expected, and at 5 months I am 100% continent and am able to have intercourse with my wife (albeit much less good than before but slowly improving). After surgery at the 3 month visit the Mayo urologist said based on my clean margins, no extension, no gland involvement, I had about a 95% chance of being cancer free at 5 years. The following Sloan Memorial data base gives me a 91% chance of being cancer free at 5 years and 82% chance at 10 years. So I think there are positive stories out there, but as you said I think they don't tend to frequent this blog. Here's the link to the Sloan Memorial database:
https://www.mskcc.org/nomograms/prostate/post_op
BTW, this is just the data I happen to be familiar with. I'm not suggesting that RARP is the "best" treatment or that's it's what you should do. I have no idea what's the best treatment for you. Rather, I just wanted to share some positive data with you to respond to your post. As an aside, I don't know but I believe the quality of care (ie. going to a cancer center of excellence if possible) is more important to one's outcome rather the specific treatment selected. I'm not a medical professional but that's my 2 bit opinion.

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Replies to "On a positive note, I do personally know 2 guys who had NS RARP, one 14..."

Thanks for that, it does help a. bit. The link I was given from one of my consults and I've seen that many times (all docs seem to like to use that to show you the prognosis).

RARP is the best choice for me, if I am to believe what experts have told me, and that is what I'm going with in 6 weeks.