How much of the prostrate tissue is removed during HoLEP

I don't have cancer but I did have my 3 month follow up last Thursday and I asked how much of the prostate was removed and the nurse said 150, then she said that was 3/4 of the prostate.

Probably MRI, if not done already. There is still 25% of a cancerous prostate requiring treatment left in your body. Start asking your urologist questions and get second and third opinions from other uros and RO’s.
Phil

There is no way of knowing if that remaining tissue has cancer unless a biopsy has been done against that tissue. Discuss with your doctor, the possibility of biopsying the remaining tissue. You could also try doing something like a PSE test, which would tell you whether or not there’s any cancer remaining in your body.

I would be wary of a 3+4 indicating that there was cancer, definitely need more information from your doctors, like where is the location that that 3+4 was found, Compared to what tissue was left.

Yes agreed--Here is the course of action Decipher--PSMA PET/MRI--PET/MRI of Pelvic with and without regent followed PSA and then appt with Oncologist-
Any idea how the team at UCSF is ..?

Is that 150 in "volume?" As in your prostate was ~200 in volume size?

What exactly is a number of cores? In my biopsy report after HOLEP there is no mention as to the number of cores, it was 3+4=7 with approximately 5% Gleason pattern 4, is present, and involves approximately 20% of tissue.

How bad is this? Anyone please!!

yes, 201 to be exact. And I'm 5' 4" 133 pounds.

There are no cores in a HoLep - they remove the hypertrophied lining and analyze that.
I do not know how many samples of that tissue are scored, but a HoLep is far from a targeted biopsy, so relax for now.
Phil

Yikes! Mine is 200 even, and I'm 6'7" and 335. My Urologist says we are a rarity. I asked him what might cause it to be that large, and he said, "Son, if I knew that, I would be a Nobel Prize winner."

This is something you can’t ignore. You could try active surveillance but knowing that 20% of the tissue was cancerous means that you need to keep track of this closely if picking AS.

If you got a decipher test and it came in very low, then active surveillance could make sense.

What is your PSA? You don’t mention it, If it’s low like below 3 then maybe active surveillance could work for you.

I would definitely ask the doctor what they would recommend for your situation. Get PSA tests every 3 months if you decide on AS.

It also would make sense to get a second opinion from a different doctor. A Doctor at a center of excellence would be a good choice for a second opinion.