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Just joined, biopsy shows 4+4 (Group 4)
Prostate Cancer | Last Active: Oct 16 11:58am | Replies (20)Comment receiving replies
To the extent it is relevant, when I was reciting to my urologist/surgeon at Mayo why I had decided on surgery over radiation, one of the things I mentioned was that once radiation was done, you could not go back and have surgery. He corrected me by saying that surgery can be more difficult, but we do do it in some situations.
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@dhasper
Yes, it can be done but with great difficulty and as he said - they do it "sometimes". After radiation gland becomes hard, stiff and full of scar tissue. It is hard to peal it off the urethra and dissect it with correct margins. Tissue around the gland is also changed by radiation, damaged and heals very slow after surgery. There is more damage to the urethra and nerves and incontinence and ED are more pronounced than it is after regular RP.
If there is another way to treat it, it would be much better option. Luckily it seems that there are additional ways of how to approach this problem 🍀.