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Prostate Surgery With Bilateral Lymph node dissection
Prostate Cancer | Last Active: Sep 11 5:30pm | Replies (41)Comment receiving replies
The majority of people I have heard from that had prostatectomy did not have lymph nodes removed unless it had spread. None were removed in my case.
I suspect if you’re Gleason eight or nine, there’s a lot higher chance of them wanting to do that As precautionary measures.
Replies to "The majority of people I have heard from that had prostatectomy did not have lymph nodes..."
I just reviewed Dr. Walsh's book where Dr. Schaeffer describes n detail ("step by step") how he performs a prostatectomy, emphasizing how he attempts to preserve as much of the fascia as possible, and he mentions that after releasing the bladder from the anterior abdominal wall, he then performs a lymph node dissection.
It sounds like, in his case at least, it's done as a matter of course.
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Exactly. It is based on risk assessment of spread. In my case even though my Gleason score is relatively low, my GPS score of 47 is very high pointing to a very aggressive cancer DNA. That is probably why my urologist plans to remove some lymph nodes, but I will ask him anyway to explain.