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Looking for people who had a G6 diagnosis and opted for RARP
Prostate Cancer | Last Active: 8 hours ago | Replies (23)Comment receiving replies
@ucfron thank you for your response. Ummm, RARP for G6 I guess could be considered extreme? I was told that due to my age that as far as treatment goes it was the best option. If I went the radiation route I stand a good chance of having secondary cancer later in life. Conversely my age also gives me the best odds of recovering from potential side effects. As far as statistics are concerned people with 20-30% of RARP patients have worse cancer that wasn’t detected. That’s what I don’t like, so yes, the sample taken are G6 but that may not be the full picture. Is there a procedure(s) that you think I should ask about? I would rather not roll the dice of ED, but also want to get busy living and put this behind me.
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@mtcoastie All you statements are true regarding your age and recovery, but G6 is the lowest possible grade anyone would consider being cancer and some consider it pre-cancer to be watched. It may never develop any further in your lifetime. There are lots of other treatments available at your stage, but again it’s up to you and several other factors like number of cores, percent of cores, location of tumor, confirmation it’s localized, etc. My tumor 3+4=7 (1 core out of 13, 70% of the core was abnormal cell growth, less then 10% was 4) was on the front half interior to the prostate in the transitional zone. I also had a Prostox test of my biopsy slides that said I would not be a good candidate for high dose radiation, so I opted for Hemi Gland Tulsa Pro at Mayo in Jacksonville. Very few centers do this procedure and it just started to be covered by insurance in June if 24. They essentially ablated the entire front half of my prostate so I still have half of a prostate. The back side is where all the important stuff is like semen and nerve bundles. My initial PSA pre-surgery was 4.5 and cancer was confirmed with a PRAIDS 5 MRI and biopsy, and PSMA PET confirmed it was confined. Anyways at my 3 mos test yesterday at Mayo my PSA was 0.51, so much lower then the Dr expected. I’ll keep having PSA blood test every 3 mos since I still have half a prostate, but all looks good so far. I was able to have sex 3 weeks after the precedure and no issues with ED. I’ve also had no urinary issues at all. As a matter of fact I urinate much stronger and better since the procedure because my tumor was restricting urine glow in my ureathra. I am very happy I chose Tulsa Pro which has a cure rate of about 85-90%, and less then 1% quality of life impacts. It also does not limit any salvage treatments in the future. You need to choose what’s right for you, but with G6 you have time. Get a 2nd, 3rd, 4th etc opinion and visit cancer center if excellences in your area. I spoke to 9 Drs in 9 mos at Advent Health, Moffit cancer center and Mayo. Get all the tests you can including a decifer, prostox, and Artera AI before making a decision. Don’t get pushed by one surgen to immediately have surgery that you may regret the affects of the rest of your life. You have time, use it .