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Best Prostate Cancer Treatment Options If You Have BPH Symptoms?
Prostate Cancer | Last Active: Feb 12 5:02pm | Replies (61)Comment receiving replies
One approach you might consider depending upon whether or not you actually have a cancerous lesion is focal therapy via TULSA-PRO procedure. I had this procedure done at Mayo Rochester in October, 2024. I had one cancerous lesion Gleason 3+4=7 and a 100cc prostate due to BPH. In this one procedure my doctor ablated the lesion and ablated 60% of my otherwise healthy prostate tissue. I'm approximately 4 months out from that procedure. He said once I heal I'll be peeing like a race horse..........and I am. So hopefully I've effectively killed two birds with one stone. I have my first MRI at Mayo in early April and my next PSA test. My 3 month PSA test my PSA dropping from 12.8 to 1.3. Since I still have a 40cc functioning prostate I would expect a PSA value. A value of 1.3 so far is well within the normal range. So far, so good.
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This is a really interesting thought. I had originally ruled out the TULSA-PRO procedure. I had read somewhere that it is very difficult for the surgeon to ensure they get all of the cancer cells, plus the uncertainty of cancer cells growing elsewhere in the prostate. The re-occurance rates with TULSA I thought were significantly higher. Did you talk with your doctor about what treatment to pursue in the event of re-occurance? Overall, I like this idea if the re-occurance rates aren't too much worse than radiation or prostatectomy.