← Return to Prostatectomy Question? Side effects outweigh benefits?

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@ozelli

Well of course it could go from Gleason 6 to a tad higher but it is not common.

Your ability to live 20 years from diagnosis of Gleason 6 is pretty darn good (provided you don’t drop dead from a heart attack of course).

Much, much better to wait than do any life changing treatment if you have a Gleason 6.

Or at least, that is what the research leads one to believe.

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Replies to "Well of course it could go from Gleason 6 to a tad higher but it is..."

From my perspective and taking the totality of my life into account (56, healthy, active, desire many cancer-free years), I would have to respectively disagree with letting a known cancer continue growing within my body until a doctor "thinks" it is time to take action. I realize there are studies that show "good" results with watchful waiting until surgery/radiation/hormone therapy are needed. However, there are statistically significant chances for scanning tool "misses", biopsy not sampling most aggressive cancer, Gleason Score under-grading, etc... There are numerous governmental and private institution studies that show the limitations with each procedure surrounding prostate cancer diagnosis. Our medical tools are awesome, but not perfect. For me, I am unwilling to take this chance. I went with a radical prostatectomy w/ nine lymph nodes removed, others address PC with radiation/hormone therapy. I knew of the chances surrounding incontinence, erectile dysfunction and other surgical difficulties, but life with my family and friends far far outweighed those challenges.

I so very much appreciate all the conversations on this site. It has been a great place to get advice and personal experiences over the past year.

Take care,

Jim