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prostatectomy vs radiation?

Prostate Cancer | Last Active: Jul 17 7:48pm | Replies (52)

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@brianjarvis
I am glad you posted this.

I have read post where if you have radiation you cannot have surgery. That is not correct.

What the issue is that radiation causes a lot of damage to prostate and margins. It does not make a good surgical organ to remove after radiation damage to it and the margins. What I was told a Mayo and my own research is the bottom line not many urologists out there experienced and expert enough to do the surgery and thus most do not want to do them.

However there are (per Mayo) urologists that do do surgical removal of prostate and other tissues after a patient has had radiation treatments. They are just hard to find as requires some really expert ability.

Again I am glad you posted your post as it echos what I have been told by my medical care team.

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Replies to "@brianjarvis I am glad you posted this. I have read post where if you have radiation..."

I can imagine that most surgeons wouldn’t want to try doing salvage surgery after initial radiation. But, with so many other options if there is recurrence following initial radiation, why would they even recommend surgery?