← Return to 44yr PSA180 Gleason9 non-metastatic. Surgery or Treatment?

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Profile picture for Jeff Marchi @jeffmarc

@dinu

For some reason, I missed this message. I wonder what you decided to do.

Good to hear the shot is working. Did your testosterone drop way down?

At your age, the nerve sparing procedure is definitely more desirable.

Was there a problem with the location of the tumors that makes nerve sparing iffy? Is the doctor real experienced in doing nerve Sparing at the option one hospital?

What happened with the surgery?

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Replies to "@dinu For some reason, I missed this message. I wonder what you decided to do. Good..."

@jeffmarc
Hi Jeff, the testosterone is at 0.49nmol/l.
I am going for the RARP, with nerve-sparing at Martini Klinik in Hamburg. I have a pre-surgery consultation this coming Friday and after that i will schedule my surgery depending on their available slots.
I am not sure if the location was an issue or if the other surgeons that spoke with did not want to bother/risk not taking everything out.
The Martini-Klinik has a procedure where they freeze the nerves once they take the prostate out, they the do a live biopsy/slicing of the prostate and decide on the spot if the prostate tissue that was in contact with the nerves was affected by the cancer cells or not and if they need to cut the nerves as well and how much.
So the surgery will probably be around March-April time frame.