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Stage 4 prostate cancer treatment options

Prostate Cancer | Last Active: May 4 8:39am | Replies (128)

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@maxvt

After the diagnosis, I received a 3-month Lupron injection, which caused hot flashes. (I still have them to some degree.) There were moderated with Venlafaxine. The PSMA test showed the cancer strictly within the gland. My healing period was very short.

From my research, surgery after radiation was not truly viable is there is a need or a reoccurrence. Surgery, followed by radiation, if needed for follow-up or a reoccurrence, is more promising. Add to this, that my cancer was prostate-confined, is why I chose surgery. My Urologist recommended a surgeon who has performed many RALP’s. I met with him, and after more thought, chose the surgery.

The pathology report indicated the presence of a previously undetected grade of cancer, one which would have survived radiation. My margins and lymph nodes were clear. The surgery choice proved to be wise.

I had done PT for Pelvic Floor for 4 weeks prior to surgery - that was a game-changer! I wore diapers for a 10 days after catheter removal with some/little spotting. I skipped the Guards entirely and wore the Shields for 3-4 weeks, just to be certain.

I’ve been completely continent for several weeks now, less than two months after the surgery.

I am feeling truly Blessed!

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Replies to "After the diagnosis, I received a 3-month Lupron injection, which caused hot flashes. (I still have..."

Just got my PSA tests follow-up Zolodex injections are working on my Stage 4 Prostate sensitive metastatic cancer in L2 L4 T12 of spine L2 was radiated a year ago to take out 1 1/2 inch of C
Free PSA / Total PSA ratio .39
PSA 4.22 ug/L Going up from 1.2 last August
Is this rise a concern folks?

maxvt: Thanks so much for that reply. All of it was really helpful and full of information. I gather the pelvic exercises are what some call Kegel? Is its purpose for greater control of urination and reduction of leaking post op? What was your surgeons name, if that's ok to ask.