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Seeking advice on treatment options

Prostate Cancer | Last Active: Oct 6, 2023 | Replies (35)
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@robo45vt

I am 64 with a Gleason score of 5. I have had one biopsy in which I got two infections going for another MRI. First one looks contained. My father had prostate cancer and treated with radioactive seeds. Later in life he had issues wearing a bags. Lived till 90. My question is is one treatment better than the other for early stages of prostate cancer? My PSA went from 6.7 to 8.2 within 6 monthes. Doctor tells me your quality of life goes down no matter what treatment you elect. Isn’t it better to treat earlier than later? Doctor seems to want to wait but me with history and rising PSA would rather proceed with treatment. Any suggestions?
Thanks
Robo

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Replies to "I am 64 with a Gleason score of 5. I have had one biopsy in which..."
Colleen Young, Connect Director | @colleenyoung | Oct 5, 2023

welcome, @robo45vt. I moved your question about deciding on treatments for prostate cancer to this existing discussion:
- Seeking advice on treatment options
https://connect.mayoclinic.org/discussion/seeking-advice-on-treatment-options/
I did this so you can read through the previous posts from helpful members like @hbp @jc76 @bens1 @michaelcharles @bjroc @edmond1971 @ozelli @hammer101 and many many others. If you use the search function in the group https://connect.mayoclinic.org/group/prostate-cancer/ you can search for more experiences about treatment decision making or search by treatment type.

Watchful waiting or active surveillance is a treatment option that others have chosen. See this discussion for example:
- active surveillance no longer recommended?
https://connect.mayoclinic.org/discussion/active-screening/

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michaelcharles | @michaelcharles | Oct 6, 2023

Robo:
2 resources that may provide information and context:
Prostate Cancer Foundation (pcf.org) - new, free Patient Guide for initial concerns/diagnosis; downloadable or by mail.
Patrick Walsh MD's book "Surviving Prostate Cancer " has been very helpful to many on this site.
Best wishes.

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