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SBRT vs. Robot-assisted radical prostatectomy

Prostate Cancer | Last Active: Dec 6, 2023 | Replies (62)

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@alanr

Dave, Robotic prosectomy would be my choice. That was my option 9 years ago and even though I'm still a cancer patient its being managed fairly well. I was 69 at the time of the surgery. Make sure you have a surgeon who is very experienced at this type of Robotic surgery. My Gleason had a couple of 8's and a 9. The surgery did not, even though the margins and glands tested to be clear following surgery, get all the cancer. I do have residual microscopic cancer but kept in control mainly with quarterly Lupron injections. After my surgery I did have radiation and Chemo but my PSA never went to zero. Incontinence never a real issue, ED somewhat of a problem until I started Lupron about three years ago. My testosterone is now less than 5 so no sex drive at all. I'm now 78. The processes today have been refined and I believe more effective but of course no guarantee. I'm in good health today with no other serious issues but still always concerned that my next visit may not be favorable. I visit my oncologist quarterly and PSA has been less than 1 for last two years. I do get occasional scans and MRI's. Whatever you do make your best effort to keep your body in good shape and visit with a nutritionist to get recommended foods to eat. Glad to answer any other question you may have.

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Thank you for sharing. I would be interested in any information you or anyone else is willing to share regarding nutritional strategies you follow including what foods you stay away from and what foods you make a regular part of your diet. Thanks again, your comments are much appreciated.