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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: 1 day ago | Replies (354)

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Profile picture for Jeff Marchi @jeffmarc

@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.

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Replies to "@johnnyz If you have radiation, you can usually get an erection for a while, But they..."

@jeffmarc That all makes sense. I do look to see what the robotics surgeon says as far as how accurate he thinks he can be in sparing the nerves since everything seems to be localized inside the prostate. But, too many positive cores (7/15) to use focal therapy…and I am worried that our RO does not employ the use of a rectal spacer…