Worried this may be Prostate Cancer: Next steps?
I'm 75 yrs old. PSA has risen over last few yrs. Rectal exam seemed ok. I had a blood test- 4K SCORE (OPKO) (LMW) that resulted with a 3.83 PSA(4.1 a month earlier). Results of the 4K score was 13.5, showing a "Intermediate Probability" of 19.7% of finding aggressive cancer upon a biopsy test. I request a MRI in 3 weeks. Great doctor and not worried but I'm new at this but born a worrier unfortunately. Thoughts please. Thanks
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High or higher PSA's - maybe just surveilance, then its biopsy (probably a poke and hope - basic), then if biopsy not sure definately get a URONAV Fusion 3d - only way to go to know. Then its an MRI wo/w contrast, then a PET w/nuclear contrast scan to confirn localized, then its decision time: Radiation or Prostatectomy. Sums it up.
Has anyone did the Robotic Surgery? I'm schedule for May. Curious to hear about your experience.
Many of us have done it. Do a new conversation and more people will find and reply to you.
Make sure they can put you out I needed a smaller tube Took 6 anistegioligst to get me out Hand pumped me for 40 minute Then stopped the robotic as C to close to apex near bladder and would have made me incontinent Had 4 radiations 4 months later
Then don't eat until intestines' return back down body as they put you almost upside down on table. I almost died when bile piled up in my stomach Needed pumping out through nose
They also gave me a bunch of pills just before going in I had GERDS when I came out
Get everything detailed described
My husband had it back in September. Surgery was not too bad. He had a lot of gas pains afterwards. Catheter for the week was more the issue. went to remove catheter it did not deflate properly and when they tried to pull it out he went thru the roof. Very painful and bloody. Had issues with incontinence much longer that he would have liked. Still has to get up 2-3 times in the middle of the night to use bathroom. Given his age they “anticipated” he would not have issues with ED since he didn’t before hand. Unfortunately that was not the case. But hopefully with time it will get better. It definitely was more emotionally draining on him all the way around. He was on a rollercoaster for quite sometime. But no cancer is better than all that put together
Some opt for radiation instead of removal due to the high number of patients that have to eventually have to go through salvage radiation months or years after removal. I would probably reconsider my choice after salvage radiation 2 years after removal if I had to do it all over. If you go to a surgeon enough times you will get surgery as that is what they do. The same with a radiation oncologist you will get radiation. Nerve sparing is the surgeon's pitch. It's a roll of the dice. I'm not sure there is any clear answer to which procedure is better. Best thing I can offer are my own experiences. Best wishes with your decisions and outcome.
...start watching the YOU-TUBE videos produced by the Prostate Cancer Research Institute
(pcri.org). The clinician is a 20 yr experienced medical oncologist which limited his practice to the prostate. Semi-annual meeting will be at the end of March, annual in September.
Their advice does not have conflicts of interest inherent in direct therapy providers.
A roll of the dice indeed…who said, “I’d rather be lucky than good.”?
Di Vinci robotic surgery is very common. I'm 73 and I, and a lot of my friends have had prostate issues, surgery and treatments. In the last 5 or more years, I can't remember any of them having prostate surgery that was anything other than "robotic".
Decades ago, my parents were scared to death of their new "microwave" oven. It's the 21st century.