← Return to Prostatectomy or Radiation? Lot of stress over which to choose

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I had the same problem 4 months ago. I had three doctors giving me three different approaches. I'm 74 and opted out of the surgery based upon my Oncologist not seeing any body of evidence indicating a better outcome with surgery compared to doing Radiation x 20 and Lupron ans Abiraterone for two years. I would get as many qualified opinions as possible based on your individual cancer type and any other medical condions or health risks. I finished my radiation and I've been on the mentioned meds + prednisone for 2 months. I had a 10 something psa now it's barely detectable. Hope that helps some. Surgeons like to cut, Radiologist like to radiate and Oncologists like to medicate. I wish you well in your decision making.

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@jake7777
At your age, that’s usually a good decision. I was diagnosed at 62 and had surgery when it came back 3 1/2 years later I was able to have radiation. I’m still here at 78 and I’ve been undetectable for the last 25 months. It’s probably going to come back since I have BRCA2 a genetic problem that causes the cancer to keep reoccurring. My brother had radiation at 77 and he’s now 80 and doing fine, No genetic issues.

11 years after I was diagnosed, I went on ADT plus abiraterone. Before, then, I never had high blood pressure, Abbie Gave me high blood pressure, which I still have five years later. Keep an eye on your blood pressure. It also caused me to have multiple Afib Events and 2 1/2 years after I started taking it I had one that was real major and my oncologist said no more Abbie. I switched to Darolutamide And have been undetectable for the last 25 months. I’m just telling you this because Abbie has some very serious side effects. Some people get extreme fatigue with it and need more prednisone. I know people that have been on Abbie for five years and not had real serious problems or side effects so the issues are very dependent on the person. It’s just known that Abbie is hard on the heart. One of those guys that was on it for five years and had very few problems ended up having open heart surgery after stopping it, was that the cause?, No one knows.