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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: 22 hours ago | Replies (354)Comment receiving replies
@jeffmarc Hi Jeff, sorry for the late reply. No to IDC or EPE or ECE and yes to low cribriform. No seminal or lymphnode invasion. I do have a consult with the robotics surgeon next week. I did consult with the RO a few weeks ago who offered 5 sessions over 2 weeks of SBRT and no ADT. If future recurrence, then he said Brachytherapy and maybe ADT then. I am still not sure which treatment I will choose, but decision day is fast approaching. At 68, they say I am young and surgery is a good thing, but that radiation treatment as mentioned above is just as successful over 10+ years. I wonder the difference b/w SBRT/Brachy compared to robotics surgery for life long impacts or QOL, specifically in continence and the ability to have sex/erections in future
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@johnnyz
If you have radiation, you can usually get an erection for a while, But they have radiated the nerves that can be spared if you have surgery. Many people have ED A few years after having radiation.
That’s not the end of Erection, however, You can always use a pump to keep the length, Use injections of bimix or Trimix To get a solid erection. You can always have an implant, which is very highly liked, 90% approval.
This also works.with surgery if there is an ED problem.
There are also multiple solutions to incontinence issues. If you pick surgery using Retzius sparing Surgery Will almost always resolved the continent problem.
SBRT is very effective, Rick, who started ancan.org had SBRT about 15 years ago and has never had an issue since. It was a Gleason eight and did go on ADT for a while.