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New and Need Guidance: What questions to ask about prostate cancer?
Prostate Cancer | Last Active: Apr 28 6:50pm | Replies (52)Comment receiving replies
My PSA 's are the same as yours. At this point I am scheduled for radical removal in very early May. My Urologist advises this is my best option . Im 60 no other real health issues. I have PSA #s in 2021 22 a year later 32. Alot of info to take in, and get processed in a very short time . I wonder , should an Oncologist be involved. at this point ??
Replies to "My PSA 's are the same as yours. At this point I am scheduled for radical..."
Yes. Definitely consult an Oncologist
Are you on any Hormone therapy?
I take Zytiga and Lupron injections every 3 months
From August to present my PSA has decreased from 74 to 10.7
Upcoming appointment with Radiologist/Oncologist to determine
if I will start radiation treatments/
Good Luck
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My urologist made me talk to an Oncologist before I decided to go with the RALP. The Oncologist I spoke to was very thorough. I would definitely recommend this. I got into see one within a couple of weeks. Seems like both approaches have same level of success (very very high) with overall survival. Both have risks with regards to incontinence. RALP more risk of ED, but Radiation carries risk of bowel movement issues. The other thing I did not like about radiation is that if PCa reoccurs it is harder to have Prostate removed. If you go with surgery you can still have external radiation treatments. I am not clear if there is a higher chance of BCR associated with radiation or surgery. I would ask this of your surgeon and the Oncologist. I did not ask this and should have. I also had nerve sparing RALP so everything is working decent with regards to erections. Not 100% yet, but I am 7 months out from my surgery only. It's a lot of decision making I know....