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Robotic nerve saving surgery for prostate removal

Prostate Cancer | Last Active: 4 hours ago | Replies (14)

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Profile picture for chippydoo @chippydoo

You could very well be sexual after RP but it might be less intense as in my experience. I had "nerve sparing" then BCR 2 years later as something was left behind. Frankly I think it is a sale tactic by the surgeon and in hindsight would rather have had WIDE margins getting all of the cancer if possible. The only good thing I can say about salvage radiation is, so far I am undetectable after 6 months. Radiation ruined my bowel and urinary continence and I leak both. Hopefully treatment works.

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Replies to "You could very well be sexual after RP but it might be less intense as in..."

@chippydoo @kujhawk1978 @jeffmarc
Does the removal of the prostate carry a chance of bowel/urine leakage? Are the PI‑RADS scores accurate? How can they differ that much from my PSA score of 1? I am going to ask my urologist about getting this group of tests. Is it as simple as just asking for these tests? I wonder why she wouldn't have suggested them already?

4K score test
PHI (prostate health index)
The EpiSwitch® Prostate Cancer Detection (PSE) test
Multiparametric-MRI in diagnosis of prostate cancer

@chippydoo - Sorry to hear of your radiation repercussions and problems. I'm in a similar boat. RP (not nerve sparing) but PCa was extensive. Now 16 months later it's IMRT time. All the Docs say no bowel should be harmed. I have positive margins and possible lymph node issues. So radiation in all possible locations.
Did you have a faster treatment schedule or up to 39 with lower Ga doses?