← Return to Surgery? Radiation? Can I have an independent suggestion?

Discussion
Comment receiving replies
@pwhisnant

70 year old. PSA 8.8, Biopsy Gleason 9, predominately right side, PET scan all contained within gland. Chose prostatectomy surgery over radiation. I understand there's no 100% guarantee with either option. Was told by two urologists that if you have surgery and it comes back, you can then do radiation. But it doesn't work the same in reverse. If you do radiation, surgery later is not an option because there is too much burn damage. Plus, for me surgery is more of a one time event, then recovery, and simple life practice adjustments. Radiation drags out any understanding of if it is working or not for some undetermined amount of time. Surgery took out gland, plus right side nerves and lymph nodes. At 70, married for 52+ years to high school love, pecker performance has a different priority these days........today, 19 Jan 25, 11 days, post surgery, leakage is the main frustration, but I expect manageable over next weeks......pathology report just in yesterday. Post op appointment with doc this coming Thu, 23 Jan 25....staying positive....

Jump to this post


Replies to "70 year old. PSA 8.8, Biopsy Gleason 9, predominately right side, PET scan all contained within..."

If you got a decipher test it could tell whether or not your cancer is likely to come back soon. As you know a Gleason 9 is aggressive, but that test could tell you more about your likely future.

I am 68. I have been reading a lot the past two weeks, as well as watching oncologists on videos. Your post is among the more helpful ones that I read.

Given all the information that I have gathered and given deep thought, I chose Robotic-Assisted Radical Prostatectomy. My oncologist will give me the earlier possible day, between the two Toronto Ontario hospitals where she does RARP. Her assistant indicated that it could be by end of March 2025; I said earlier than that, if possible; I want to eliminate or reduce the possibility my PC can spread outside the prostate before surgery.

Others may choose a different treatment that they think fits them. Whichever treatment they choose, I wish everyone well in this our journey. In due time, I will update you of my progress.