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44yr PSA180 Gleason9 non-metastatic. Surgery or Treatment?
Prostate Cancer | Last Active: Sep 27 11:03am | Replies (112)Comment receiving replies
You'll need to decide what you think is best for you. I had Gleason 9 with a PSA of about 7.5. I got surgery. They found the cancer had extended beyond the prostate. They did not get it all. My PSA is rising. I'm getting ready to give it another go with radiation.
The surgery resulted in not having the ability to attain an erection. My countenance is pretty good. Occasionally I will have a tiny drop come out. I lift weights, do all sorts of activities, and really have no issues. The recovery time after surgery was short, but I got a wicked infection that was difficult to get rid of.
I'm not sure if I would go the same route again. I just wanted it out of me. That was not achieved.
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Hey gem1128, Don’t look back and kick yourself for choices you made. You did the right thing.
If you chose radiation and your cancer extended beyond the capsule, figuring the margins would have been educated guesswork no matter if they used Cyberknife or MRI guided treatment.
If the cancer extended beyond the target area it would have been missed and you’d be right where you are now, but with less options.
If EBRT was used it might have had a better chance, but without ADT, who knows??
Hopefully your radiation team will kill this thing once and for all. And be SURE they plan to radiate the pelvic nodes as well. No matter what the PSMA shows or what your RO ‘thinks’, just be sure they target everything they possibly can. Best,
Phil