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What are the Odds No Cancer Ever Returns After a radical prostatectomy

Prostate Cancer | Last Active: Mar 31 1:28pm | Replies (33)
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@bens1

Thank you, Kevin. Part of the conundrum is even if everything is confined to the Prostate, is radiation/Androgen therapy a better decision than prostate removal. Since you wrote this my brother called from NYC and said he has prostate cancer and is going with a radioactive insert placed between his prostate and adjoining areas and his cancer is confined to the Prostate. Its almost as if one is deciding on which side effects and processes are more or less appealing, general effectiveness notwithstanding.

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Replies to "Thank you, Kevin. Part of the conundrum is even if everything is confined to the Prostate,..."
mrscott | @mrscott | Oct 26, 2022

My understanding is that the various treatments are effective AND have major side-effects, so the Quality of Life (QoL) becomes a major deciding factor.
See Dr. Mulhall's videos and book for what to do about some of the side-effects.

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mrscott | @mrscott | Nov 3, 2022

There are many effective therapies; the author of "Key to Prostate Cancer" Mark Scholz MD said outright on a video that for low and intermediate Risk PCa it's a choice between side-effects and convenience. And, for those lucky enough to be Gleason 3+3=6 and below, Active Surveillance may be the best option (no side-effects).

Androgen Deprivation Therapy has serious side-effects BTW; have a look at Dr. John Mulhall's videos:
https://youtu.be/u4TN9mCHlg4

I'm reserving ADT for if I really need it. Turns the muscles involved in an erection into collagen or fat ...

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