← Return to ADT for several months before Radical Prostatectomy

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ADT for several months before Radical Prostatectomy

Prostate Cancer | Last Active: Mar 3 8:39pm | Replies (26)
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@tmestanas91

@jeffmarc @kujhawk1978 if you have an opinion on above I would really appreciate your opinions. You both seem to be very knowledgeable. I understand if you don’t feel comfortable opining. Thank you. @tmestanas91

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Replies to "@jeffmarc @kujhawk1978 if you have an opinion on above I would really appreciate your opinions. You..."
jeffMar | @jeffmarc | Mar 2 5:14pm

I think the advice you got from other people is quite appropriate.

I’m a little surprised that the surgeon doesn’t want you to take ADT. Is it possible your prostate is smaller than usual, and it would get even smaller with ADT? On average ADT shrinks the prostate by almost 47%.

If you were to do the surgery soon, then ADT would not be necessary, If you wait, many months, ADT is really important to stop your cancer from growing.

With the Gleason nine, there is a likelihood that the cancer will reoccur. If you get surgery then you can follow with salvage radiation. If you get radiation, surgery is difficult and usually not done. You could get a decipher score to see if it’s high, though Gleason 9 is also shown to cause high reoccurrence, Your doctor may say that’s an assumption you can already make, but it can’t hurt to ask.

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