My Gleason score is 7 - 3+4. How long can I live without treatment?

Posted by mayoclinicadvice23 @mayoclinicadvice23, Jun 11, 2023

My Gleason score is 7 - 3+4,. How long can I live without treatment? Since I decided not to get any treatment, because of horrible side effects, I was wondering, if someone who experienced the same condition, will share his experience with me.

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@maxvt

I had 3+4 and 4+3 Gleasons. I also had a PSMA scan which showed the cancer was confined to the Prostate. One of my doctors ( I gathered so much information my head began to swim.) stated that radiation after a Prostatectomy is viable, but surgery after radiation is not as good/viable due to the effects of radiation on one’s body. For this and my other data gathered, plus reading Dr Patrick Walsh’s book on Surviving Prostate Cancer, I opted for the RALP. I did Pelvic Floor PT prior to and after surgery, guided by a woman, at a Baylor, Scott & White clinic in Austin, who was educated and trained to help men with Prostate Cancer. I had ZERO continence issues, NONE! The pathologist who examined my removed prostate stated the gland contained a cancer that WOULD HAVE SURVIVED radiation. By the way, after reviewing my documents and my thoughts, I told my Urologist I wanted the surgery. He said that, if it were him with my numbers, he would have made the same choice. (What a relief!) So, whatever path you choose, I sincerely wish you all the best!

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Went through a very similar situation with a 3+4 and 4+3 Dr recommended surgery then I found out out cancer not gone so 6 weeks of hormone treatment And radiation. At 78 and in very good shape otherwise I will always wonder how long I might have survived if I did nothing. The last year has been the worst time in my life and unable to get an erection makes it all worse , when my second hormone shot wears off I have one last chance of injection or penal transplant, anyone with experience of trying either one or both ?

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@graybeard46

Went through a very similar situation with a 3+4 and 4+3 Dr recommended surgery then I found out out cancer not gone so 6 weeks of hormone treatment And radiation. At 78 and in very good shape otherwise I will always wonder how long I might have survived if I did nothing. The last year has been the worst time in my life and unable to get an erection makes it all worse , when my second hormone shot wears off I have one last chance of injection or penal transplant, anyone with experience of trying either one or both ?

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I don’t think you want a “transplant”- they already did the movie Frankenpenis😆. I think you meant “implant”. There was someone on yesterday’s forum who had one and was thrilled with the result and so was his wife.
Go to the top of the forum page, hit search and type in “penile implant” - there are many discussions and comments from men who have them. Good luck!
Phil

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@maxvt

I had 3+4 and 4+3 Gleasons. I also had a PSMA scan which showed the cancer was confined to the Prostate. One of my doctors ( I gathered so much information my head began to swim.) stated that radiation after a Prostatectomy is viable, but surgery after radiation is not as good/viable due to the effects of radiation on one’s body. For this and my other data gathered, plus reading Dr Patrick Walsh’s book on Surviving Prostate Cancer, I opted for the RALP. I did Pelvic Floor PT prior to and after surgery, guided by a woman, at a Baylor, Scott & White clinic in Austin, who was educated and trained to help men with Prostate Cancer. I had ZERO continence issues, NONE! The pathologist who examined my removed prostate stated the gland contained a cancer that WOULD HAVE SURVIVED radiation. By the way, after reviewing my documents and my thoughts, I told my Urologist I wanted the surgery. He said that, if it were him with my numbers, he would have made the same choice. (What a relief!) So, whatever path you choose, I sincerely wish you all the best!

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You are so lucky to have your surgeon save those nerves with your RP. Most do not due to size of prostate embedding those very fine nerves. No amount of skill by the surgeon would help in such a case. Never could understand how any amount of Pelvic Floor PT and Kegals are any help. YOU HAVE NO NERVES! ED is bad but the constant leaking (really a running faucet) is far worse. Input most welcome. Especially from surgeons

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