AP31126 - Getting the initial diagnosis of prostate cancer is definitely a shock and something most of us never thought we would hear. For myself, the research I did helped me understand my situation and the fact that there are now so many treatment options. I was diagnosed with Gleason Score 7 (4+3) prostate cancer in 2022 (56 years old, healthy, good physical shape). I did a lot of research and ultimately decided on a robotic prostatectomy at a center of excellence (Mayo-Rochester, MN). There are so many opinions surrounding treatment plans, but for me, I focused on the data, common sense, and my life goals. My main goal was to live 30+ additional years prostate cancer free, and be available to my wife, son, parents, siblings, etc... I didn't want to have any complications or side effects from the surgery but this was not an absolute need. In the end - There were no complications with my surgery and I have full continence and erectile function. I realize there is a 20% chance of biochemical reoccurrence, but thus far PSA is undetectable - Praying this will be the case for many years to come. There are so many horror stories out there surrounding radical prostatectomies, but based on my research and personal experience, the outcome you have is directly related to your up-front research in choosing the best possible center of excellence and the most qualified surgeon at that center of excellence. I did not want the department head, best author, best instructor - Rather, I wanted the best surgeon that had done thousands of successful radical prostatectomies (Dr. Igor Frank - Mayo Rochester). Then, you must do the post operation therapy that is prescribed.

There are so many treatment plans out there and you need to pick the one that best aligns with your personal life expectations. If people tell you there is only one option, you probably want to ignore their opinion. For myself, I would definitely recommend a robotically assisted radical prostatectomy at a center of excellence. However, this is based on my person life expectations and experiences.

Good luck with your decision!!

Jim