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keithl56 avatar

PI-RADS 4 with ill defined margin and positive DEC

Prostate Cancer | Last Active: Apr 12 4:48pm | Replies (18)
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@keithl56
Dr Emberton explains that it is overused and the side effects aren’t worth the process. Even at PI-RADS 4 I will probably die of other issues before cancer. I am 62 - PSA was 9.7 last year and 8.6 this last quarter. My next will be in Aug and I will make some decisions then. If I am over 12 then trouble is coming.
My surgeon wants to scoop my prostate out - which will leave me incontinent, with no erection or able to produce any seminal fluid. His answer is to give me a penis pump or his office can show me how to inject my penis with trimex. LOL No thanks. I will play the long game and hope for the best. In the meantime I will continue to enjoy my sex life as it is - I will savor every minute.

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Replies to "@keithl56 Dr Emberton explains that it is overused and the side effects aren’t worth the process...."
wheel1 | @wheel1 | Apr 12 8:58am

@csbarry
New surgery technique’s can give immediate continence and with nerve sparing still enjoy erection’s and penetration. The old stories everyone has grown up about being incontinent and impotent after prostate surgery are giving way to the new technology. I even went home from surgery the same day. The sooner you address it makes recovery regarding these issues better. The stories everyone hears about how slow prostate cancer grows are stories too. Sure many prostate cancers are slow growing but as many are not. Not until you get a biopsy and Gleason score will you know whether yours is aggressive or not. Even Decipher testing gives you a better decision making tool

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keithl56 | @keithl56 | Apr 12 9:35am

@csbarry

I can understand the dilemma of choosing quality of life versus quantity. In my case I have co-morbidities which may influence my decision. In 2018 my cardiologist told me that within 5 years I was likely to have a major adverse cardiac event due to my severe coronary artery disease, yet here I am. I know the clock is still ticking so depending on my biopsy I may be tempted to just roll the dice.

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