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Robotic nerve saving surgery for prostate removal
Prostate Cancer | Last Active: 4 hours ago | Replies (14)Comment receiving replies
You need a biopsy to determine if it is cancer. Then added tests for how aggressive it is likely to be to decide the best treatment for the quality of life you want. For sexual function the best are the focal treatments (nanoKnife, TulsaPro, laser); however, they only work with 1 or 2 lesions confined to the prostate usually 3+4 Gleason although some will do 4+3. Failure rates are higher, but these usually extend the time you can stay on active surveillance by taking out the worst lesions. You can always have surgery and/or radiation later if there is a recurrence. Besides ED there is also a risk of incontinence from surgery. Radiation has ED risk and rectal issues that can occur several years after treatment. There is a definite tradeoff between risking quality of life and effectiveness of suppressing prostate cancer.
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@jim18 @jeffmarc UPDATED 3-26-2026- I am 56 years old and I was diagnosed with prostate cancer in 2022. I had a biopsy in 2022 (Gleason level 6) and 2024 (Gleason-? I need to track down) that both confirmed cancer. I just had an MRI done this week and I got a PI‑RADS score of 5. Last year, my score was a 2. I do have prostate cancer, but my PSA levels were just checked last week and they are a 1. I am thinking about the radiation or I am considering just having my prostate removed so that cancer will not spread, but not being able to perform sexually again is scary. Is there any insight on this. I live in St. Louis, MO and I am open to hearing anything concrete of definitive and will gladly give my phone number to anyone who can help. Thank you. 314-324-3451 Chris