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Trying to choose between radiation and surgery
Diagnosed 7/15/26, 2 of 12 cores 3+4 on both 20% and 30%involvement t1c, have oncologist appointment on 8/20 and Urology surgeon on 9/28, asked my main urologist for a decipher test hopefully it reaches the oncologist before the appointment. If it comes in lower considering optional treatments without adt but if not probably will proceed to nerve sparing surgery also if that was the case I was hoping I could get a lower groin hernia fixed at the same time.
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@ireland1964
Dr Scionti reviewed my MRI and Biopsy.
He told me the size and placement of my lesion did not make me a candidate for Tulsa Pro. He said I was a candidate for HIFU.
I do not understand all Dr Scionti was explaining about being excluded from Tulsa Pro. I felt comfortable he had reviewed my situation and Tulsa was not a good option for me.
Best Wishes
@charlesprestridge appreciate the info
You had mentioned sending your results out for a Tulsa Pro evaluation.
Do you have a resource for that or was that all directed by your Dr?
Hope you doing well
@ireland1964
I called Dr Scionti’s center. I emailed MRI and Biopsy documents from my portal. They worked with my Urologist to obtain the actual MRI. It took a few phone calls and emails to complete. After about two weeks, they arranged a conference call for me to speak with Dr Scionti. We spoke for about 15 minutes about my MRI, Tulsa Pro, and HIFU.
His entire staff were very easy to work with and very helpful. It was an easy process getting this evaluation completed. You can start online by submitting request for consultation.
https://www.sciontiprostatecenter.com/contactdrscionti
https://www.sciontiprostatecenter.com
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2 Reactions@ireland1964 I have no idea what that is. I decided to not have nerve-sparing, if that is related.
That decision took all of three seconds.
For me, considering them more or less comparable in efficacy, I chose surgery for several reasons:
1. My local Urologist is fine, but I wanted to be treated at a Center of Excellence. The nearest one is about 3 hours away. Radiation, 5 days/week for several weeks, would have meant setting up a temporary residence, which was not feasible for me.
2. While it's possible to do surgery after radiation, it isn't simple, whereas radiation after surgery is well-established.
3. Surgery gives you a complete picture of the prostate, seminal vesicles and pelvic lymph nodes, whereas radiation does not.
4. Being undetectable afterwards is somehow more satisfying than reaching a low baseline.
5. A good friend of mine had had brachytherapy for his prostate cancer years before and had just developed late side effects as I was making my decision,
I don't regret my decision,
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1 Reaction@ginger38314, you might be interested in this related discussion:
- Post Prostatectomy Incontinence: When can I start bicycling again?https://connect.mayoclinic.org/discussion/post-prostatectomy-incontinence-bicycling/
Thanks for the information.