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New Oncologist recommendation vs. prostectomy
Prostate Cancer | Last Active: Aug 23 4:14pm | Replies (25)Comment receiving replies
Indeed - the decipher is high. How old is your husband when treated and how is he doing (exceptionally well I hope)? That element alone is what prompted the Urologist to lean in the surgery direction (he is a robotic surgeon with over 4k prostectomies). However, a number of gleason 8 and 9 people I know in my age range have opted for radiation in hopes that the treatment works, or works well enough for 10-12 years, to see improvements in RP salvage surgery. It is a dilemma.
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My husband is recovering from surgery as we speak. He had procedure done 3 days ago. If you wish to see detailed information about post op recovery status feel free to look up "Surf Is Up" thread that I posted. He is 69 and otherwise in very good shape. He likes to ski, play tennis and windsurf and kite-surf. He is not retired nor he plans to retire - he really likes working ( he is in high tech). He preferred surgery among other things because it did not involve ADT that can cause tiredness and brain-fog. Since he had cribriform glands radiation without involvement of ADT was not an option. He has 2 stratups and ADT side effects just did not sit well with him. There are so many parameters that go into decision making and with lower aggressiveness one has many more options. Having gleason 9 does not necessarily mean that Dcipher score is high. It can actually be low ! So you have to ask your friends what was their Decipher score and if they had Cribriform or even IDC in pathology report.
Wishing you all the best and please feel free to ask anything.