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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: 14 hours ago | Replies (267)

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Profile picture for N227 @n227rv

@jonathanack "... Everything is as normal as one could hope. Treatment provided the usual symptoms and they were manageable. ..." I am glad you're back to a sort of normal. It is encouraging to read. I am considering SBRT as opposed to surgery. The prospect of a major life change is hard for me to accept, being, it appears, a new life of infertility, incontinence and impotence in one degree or another regardless of the treatment modality.

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Replies to "@jonathanack "... Everything is as normal as one could hope. Treatment provided the usual symptoms and..."

@n227rv
I was not willing to accept the lifestyle changes you point out that surgery would likely present. My surgeon advised that I would be 'dry' in a year and that impotence would be tbd depending on nerve sparing surgery once the procedure was underway. The prospect of my remaining life (64 years old) with incontinence and impotence were big factors for my wife and I. I listened carefully and sought out multiple opinions to get myself comfortable with the decision. No regrets at all. Being alive and living are two different things in my view. At this point, 7 months out, quality of life factors re: incontinence and impotence are not a problem. I have cribriform and one procedure vs the other were equal and I opted for an aggressive radiation and drug regimen. Every patient finds their way forward and the right choice is the one you are comfortable with. Go easy and best of luck. You'll make the choice that is right for you.