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Surgery or Radiation + Hormone Therapy
Prostate Cancer | Last Active: Mar 2, 2023 | Replies (46)Comment receiving replies
This is my first comment. I’m a hot mess and need help from all of you. So here goes. 71 years old. PSA score went from 5 to 17.1 in two years. Biopsy shows right prostrate has cancer (Grade 5) with a Gleason score of 9. CT scan and Bone scans doesn’t show any cancer outside of the prostrate (thank goodness). I have Factor V Leiden (blood clot chromosome). My question to all of you nice folks is risk surgery(bleeding or blood clots), radiation, or something else? Thanks
Replies to "This is my first comment. I’m a hot mess and need help from all of you...."
sps488: Very sorry to hear of your recent diagnosis.
Surgery or Combination of Radiation & ADT hormone therapy are the gateway choices.
72 years old and I chose radical prostatectomy performed last September at a center of excellence for prostate cancer.
Incontinence and erectile dysfunction (ED) are the most discussed side effects of surgery. Fortunately, I had no issue with incontinence; ED is a different story and a work in progress.
I am glad that I chose surgery.
Many on the Mayo Clinic site have had different forms of radiation, and most I think also had ADT, and seem pleased with their results.
Interestingly, long term results, I believe, are similar for surgery or radiation/hormone therapy.
Does your blood factor issue impact your available choices?
Recommend Prostate Cancer Foundation (PCF.org) very good, free book on Prostate Cancer and treatments, available as a hard copy or downloadable.
Also, Patrick Walsh's book Surviving Prostate Cancer is a great read and resource (note 4th edition 2018 and some protocols have evolved).
Best of luck with your battle with this insidious disease.
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Sps488: for me, there was a grieving process, sort of a death of health and cancer is very scary. Once your past that stage, you look for solutions which is great that you are here now. Lots of good information from people going through it. I have made a number of comments about my recent experience with radiation and the MRIdian machine, https://viewray.com/, which you may want to add as a radiation choice. When you get a biopsy, use the biopsy material for a decipher test to test aggressiveness, https://decipherbio.com. Consider spaceoar for rectum
Rotection. Radiation margins are important.I am 69 and just finished my 5 treatments. Minimal side effects were urine flow Slowed and handled by Flomax. Keep reading the comments on this site.