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← Return to Surgery or SBRT PSA 4.4; T1c.
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Thanks for your suggestions. I did read about the MRI guided SBRT but the radiologist said the results from the SBRT Cyberknife are comparable. I would use the space OAR gel to space out the other organs. There is no MRI guided SBRT near my home. I seems most are at univeristies.
There was no mention of future cancers. I did read where men have no ED after the procedure but after 1 year plus ED could happen. That is confusing. He stated if you have any urinary issues (which I don't) such as painful or frequent that SBRT is not recommended.
For surgery I am afraid of not much nerve sparing since all 12 sections are positive.
I was remarried just 5 years ago so ED is important to me, as well as incontinence which is why i lean toward SBRT but if the positives are only temporary, I am not sure now.
I really don't want to be wearing a pad or Depends for years to come.
Replies to "Thanks for your suggestions. I did read about the MRI guided SBRT but the radiologist said..."
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The thing is the cyber knife results are not equal. They can bluff you into thinking they are, but there is a Significant difference In the width of their beams and nearby tissue that gets touched. You can spend a few minutes looking into it and will find that is what the facts are.
If you had to go a distance from home to get treatment you could get free housing with multiple different groups that help cancer patients with free hotel rooms when they are getting treatment. It would be a maximum of 5 treatments if it hasn’t escaped the prostate.
Yes, ED could happen some time after Radiation. At worst, you could use Trimix, An injection into the penis gives a solid Erection. If you are on ADT, your desire for sex will be greatly reduced, which may be more of a problem?
Incontinence problems are something that many of us live with. There’s no way of knowing how your body will react to surgery or radiation, There is so much variation, but frequently a little leaking occurs, I don’t think there’s anything they can do to reduce the chance of problems, maybe the SpaceOAR can help a little, but it is designed to protect the rectum. There are things you can do when it is a problem. There’s a couple of different pills that help a lot if you just leak a little no, Gemtesa and Myrbetriq. And there are a few different other techniques urologists use. One of the latest (ProACT) surgically inserts a couple of balloons around the bladder neck,, they can remotely increase and decrease the Pressure to end the leakage.