Alternative to prostate removal surgery

I'm sorry you are dealing with this.

PSA is just an indicator, not the actual problem. You need to work with your medical team to find out what's causing the PSA rise and then address that directly (if needed).

Best of luck!

The PSA is the problem. I had a biopsy in April of this year. I have the radiation treatment protocol dated to start on Jan 5th at Monmouth Medical Center with a Dr Sim. The details of the procedure are too much for me to go through with. I'm only looking to slow it down not cure it. I'm between a rock and a hard place. I just don't think I can go through the whole process and then the ensuing months of recovery.

Any suggestions?

There are three types of radiation IMRT, cyberknife SBRT and MRIdian SBRT and then the non radiation techniques HIFU, cryotherapy, TULSA-PRO or more (others here may recommend).

If your PSA is really 4.25 and you have never had treatment then drugs would make sense. Have you had A biopsy. Have you had any tests that show that you have cancer? Do you know what your Gleason score is?

You could go on Lupron, which would stop your PSA from rising and probably get it down to very low levels. There are other drugs you can add to it that would even get your PSA down more. The thing is, they don’t give you those drugs unless you provably have cancer , You’ve given us no indication here that you have any proof that you have cancer.

Maybe you have BPH and that’s why you think your PSA is a little high.

The PSA rise is due to 3 tumors one of the three is a Gleason 7.

I have three tumors one of the three is a Gleason 7 all discovered this April when I had a biopsy.

So, my PSA is now 8.5 but I am on Finasteride and Tamsulosin which I'm told doubles the true PSA level. I'm looking for an alternative to surgery, some other treatment or medicine that will help me control the PSA level. The surgery is very untasteful for me to go through.

If I was to go through the surgery (doubtful) It would be the 5 treatment cyberknife procedure.

I did tell you about three different other ways of doing treatment that are not radiation or surgery. Check out the first paragraph of my first reply. Some people here really like Tulsa-pro.

Did you get a PSMA pet scan showing you had three tumors, Or was that an MRI? Have they spread beyond the prostate. Did you have cribriform or intraductal?

I'm sorry, too, to hear about the tumours.

The PSA is a warning sign that the tumours are there (in your case), and probably — but not definitely — will decline once you've dealt with the tumours. If it doesn't, or rises again later, that might be a warning sign that something else is going on.

PSA in itself is harmless, but it warns us we need to look for something. In a sense, it's the fire alarm, not the fire.

Cyberknife is radiation, not surgery.

Did you mean to say you were either going with surgery or CyberKnife?

Yes, I misstated something. I'm very familiar with the whole process, Cyberknife is radiation.
I also know from the one sampling I have who had it done in the same hospital that it's not cancer proof.