time to decide and I'm stuck....

Posted by wpg215 @wpg215, 1 day ago

PSA: 9 ng/mL
Prostate size: about 30 cc (MRI 3.3 × 4.2 × 4.1 cm)
Gleason score:
One core: 3 + 4 = 7 (Grade Group 2, favorable intermediate risk)
Seven cores: 3 + 3 = 6 (Grade Group 1, low risk)
Positive cores: 8 of 12

I'm considered favorable-intermediate risk, I have the option of radiation (inter or external) and surgery. I think I've reached the point of information overload. The RO called and wanted to proceed after reviewing my PET and MRI. I told them I need some time. I like the idea of eliminating the cancer by getting the prostrate removed, I'm not looking forward to staying in the hospital, going under the knife, wearing a catheter for a week, and when the doc said he was gonna pull back (my little friend, lol!) that gave me some pasue as well.

I've reached an impasse. while I like the idea of getting rid of the prostrate to get rid of the cancer, with surgery, but the physical side effects don't appeal to me. Radiation is appealing but I do fear the long-term effects.

This is what understand

surgery: immediate side effects
radiation: gradual long-term effect develop over time.

Is it safe to say regardless of the treatment it come down to do I want to physical side effects up front or roll the dice that I may not develop long term effects due to radiation exposure.

how did you decide?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for surftohealth88 @surftohealth88

@kjacko
Thanks for posting an update of your case 🌺. It is comforting to see it since my husband has very similar case to yours (initially found 4+3 that turned out to be 4+5 in actuality , high decipher and possible tiny EPE with the first PSA 0.014).
Wishing you undetectable PSA for at least next 30 years 😉 !

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@surftohealth88 Our situations are very similar. Hoping that PSA stays low, low, low! 🙏🤞

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