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How much of the prostrate tissue is removed during HoLEP

Posted by mauk @mauk, 3 days ago

I had my HoLEP procedure done 3 weeks ago, after reading up on the procedure I am a little confused, if 80% of the tissue remove and a biopsy found 3+4+7 does that mean the remaining 20% is also likely to be cancerous....what would be the next setps??

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mauk | @mauk | 20 hours ago
In reply to @jeffmarc "This is something you can’t ignore. You could try active surveillance but knowing that 20% of..." + (show)
@jeffmarc

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.

Jump to this post

My PSA in DEC 2024 2.03, surgery was March 27th. Waiting for Decipher test results, followed by PSMA PET/MRI and the same for the Pelvic region with and without regents, followed by PSA and then consult with Doc.

Is UCSF considered good for these types of procedures

"A Doctor at a center of excellence would be a good choice for a second opinion" Any suggestions

REPLY
1 reply
jeffMar | @jeffmarc | 18 hours ago
In reply to @mauk "My PSA in DEC 2024 2.03, surgery was March 27th. Waiting for Decipher test results, followed..." + (show)
@mauk

My PSA in DEC 2024 2.03, surgery was March 27th. Waiting for Decipher test results, followed by PSMA PET/MRI and the same for the Pelvic region with and without regents, followed by PSA and then consult with Doc.

Is UCSF considered good for these types of procedures

"A Doctor at a center of excellence would be a good choice for a second opinion" Any suggestions

Jump to this post

UCSF is a really good place to go, They really know their stuff. We were even talking about Dr. Roach’s Recent video about radiation, in another discussion in this forum. He’s at UCSF, my brother had his radiation done by him As have many other people I have spoken to. UCSF has a once a month prostate cancer group online meeting which I attend. Not everybody is a patient of UCSF, but many are.

It sounds like all of the things they have planned for you should at least show what’s going on.

REPLY
1 reply
mauk | @mauk | 11 hours ago
In reply to @jeffmarc "UCSF is a really good place to go, They really know their stuff. We were even..." + (show)
@jeffmarc

UCSF is a really good place to go, They really know their stuff. We were even talking about Dr. Roach’s Recent video about radiation, in another discussion in this forum. He’s at UCSF, my brother had his radiation done by him As have many other people I have spoken to. UCSF has a once a month prostate cancer group online meeting which I attend. Not everybody is a patient of UCSF, but many are.

It sounds like all of the things they have planned for you should at least show what’s going on.

Jump to this post

I have also joined the Forum at UCSF..hopefully will bump into you!

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