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Radiation vs. Prostectomy (nerve sparing)

Prostate Cancer | Last Active: Sep 26, 2025 | Replies (22)
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Profile picture for Setters and Birds @jonathanack

Thank you, Dave. Yes, my second opinion was with Sloan (my radiologist trained at Sloan and Cornell/Weil). Sloan recommended virtually the same procedure with only minor differences (once a week - 5 weeks vs. twice a week - both = 5 sessions). I am a candidate for removal but the recovery timeline is longer and the surgeons both said that either method has about the same odds of removing the cancer and cribriform (72-75%). Good luck to you with a continued successful recovery.
Jon

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Replies to "Thank you, Dave. Yes, my second opinion was with Sloan (my radiologist trained at Sloan and..."
heavyphil | @heavyphil | Sep 24, 2025

All I can add is that at age 64 with high volume Gleason 4+3 with PNI (and ‘tiny’ breach in the capsule not seen on any scan) I opted for surgery…unwillingly…the reason?
What I had - and what you have by virtue of cribriform being present - is a cancer with a high likelihood of recurrence. FORGET the surgeons and RO’s saying that their treatment is ‘one and done’ - it hardly ever is!
My cancer DID return 5 yrs after surgery at age 69 - still comparatively ‘young’ depending on who’s looking. You might be even younger if yours comes back and what then??
Ask BOTH the surgeon and the RO —“What Then?” The answers will be your best guide to making a sound decision. Best,
Phil

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