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← Return to Prostatectomy or Radiation? Lot of stress over which to choose
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Prostatectomy or Radiation? Lot of stress over which to choose
Prostate Cancer | Last Active: 3 days ago | Replies (116)Comment receiving replies
In my case, I was advised against a RP based on the fact that I am obese (BMI > 30). I went through the 44 sessions of EBRT, with no issues and since my radiation treatment ended during May 2024, my four PSA readings have been less than 0.01 ng/dL Nothing to complain about, however, the duration of the ADT is another matter, but I will leave that for another post.
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@juanmoczo There was a paper published on this topic earlier this year titled, “Impact of obesity on prostatectomy outcomes: Insights from a large prospectively maintained cohort.”
> https://www.sciencedirect.com/science/article/abs/pii/S1078143925000183
Their conclusion was, “z
….we found that radical prostatectomy in obese patients had a higher likelihood of positive margins, longer operative times, higher blood loss, and increased complications. While this reflects the increased technical difficulty familiar to surgeons, the chances of biochemical recurrence and metastasis were not significantly worse for obese patients, suggesting that BMI in and of itself does not portend worse or more aggressive disease after surgery.”