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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: 1 hour ago | Replies (333)Comment receiving replies
@davidz26 thanks…at 62 I have no chance of getting in best shape of my life but I’m trying and only know this is probably a better shot than kicking the can.
I’m in Michigan and have met with Karmonas cancer already and looking into U of M. Problem I’m having is trying to find specifics about what type of nerve sparring techniques they use other than just pointing out they do Ralp and try their best with that.
Brought up things like Retzius and non-cutting of pubo ligaments with Karmanos and got nothing
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@ireland1964 If they have not heard of Retzius go to another center/surgeon. UM is probably the best choice where you are. Nerve sparing is always on a best-efforts basis. The nerves run on the outside of the capsule and if there is no cancer there the tissue gets peeled away and that preserves the nerves. Sometimes it is full, other times partial. Ask the surgeon how successful they have been with the technique. See the Wheel1 post where he went through his Retzius surgery.