Prostate cancer: Working out the treatment plan

Posted by timoppermann @timoppermann, Sep 26, 2025

Psa from 110 to 228 in 2 months. Pirads 6. Gleason score 8. Prostate 63cm. Cancer tumor 98.6 mm. Also EFE PNI SVI. Severs fatigue and low back pain severe. Urologist said prostatectomy wouldn't really help. Referral to medical oncology, radiation oncology and hormone therapy. How worried should I be and how bad is it.? Getting PET next week.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

71/502 | @brucerichardson | Oct 5 4:47pm

In reply to @timoppermann "I hope somebody can help with there experience" + (show)

@timoppermann what’s on your mind?

71/502 | @brucerichardson | Oct 5 5:12pm

It was a really long and rough 2.5 years fallowing R.A.L.P. Surgery. As of this post I’m cancer free and back swinging for the fences once again. I don’t ever see much discussion on this forum with regard to the depression that usually accompanies a prostate cancer diagnosis. I’m 100% good now but it was exhausting 2.5 years. Never heard anything about it (depression’s) in the urologist office. Any one else have an issue with that? Asking for a friend.

surftohealth88 | @surftohealth88 | Oct 5 6:41pm

In reply to @brucerichardson "It was a really long and rough 2.5 years fallowing R.A.L.P. Surgery. As of this post..." + (show)

@brucerichardson

There was a great deal of discussions here about depression - just go and type in "depression" into "search discussions" filed that is above list of all topics (top of the page ) . Let us know if you still have trouble finding related posts .