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@handera

bens1: Thanks for your comments! I'm just one week into being given the news that I have prostate cancer, so please understand the following comments in light of my "cancer revelation".

I'm an engineer who spent a 40+ year career in research and development and now I'm one week into researching a subject that is new to me...but I know how to perform research! So far, it seems to me that there is no "standard of care" PC treatment that provides a "cure" without SIGNIFICANT consequences.

Before my fusion biopsy I had absolutely no symptoms (elevated PSA), now I'm sore from having 21 needles poked into my prostate - my only (new) symptoms! From the research papers, books and sources I have read during this short time, it appears that even the best RP treatment will involve at least a week of catheterization, a minimum of 2-3 months of incontinence - possibly lasting as long as 18 months - and an 6-8% change of permanent incontinence...AND a ~70% chance of ED 2 years after RP! All this makes AS (at my stage, having no symptoms other than a sore prostate due to a biopsy) sounds quite appealing!

I'm exploring radiation treatments, but I having difficulty getting over "the idea of poisoning my way back to health" (as one source put it). In any case, I appreciate your comments and that you are happy with your treatment decision. I'll probably be further down the road of "acceptance" of this diagnosis after I've had more time to absorb its impact and I'm further down the road regarding my own research.

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Replies to "bens1: Thanks for your comments! I'm just one week into being given the news that I..."

Who told you "the idea of poisoning my way back to health"? What does this mean to you?

I had a TRUS biopsy and the results came back 3+4. Wish I could have had a MRI fusion biopsy like you. I then sent the samples for Prolaris testing. It came back I was on the borderline for active surveillance/treat. I decided to have my prostate removed at Mayo. Post surgery pathology came back upgraded at 4+3. Seems the biopsy missed significant cancer. I'm glad I had it removed. Catheter kinda sucked but it was only for seven days. I had 0 issues with incontinence, 0 leaks. I was very pleased. Still have some ed but i'm only 3 months out. I refrained from lifting anything over 10 lbs for six weeks but have no limitations now. I'm 59 by the way. Tuesday I go for my first PSA post surgery. It's a tough decision about how to proceed and I can tell you I prayed quite a bit and asked for guidance. Never thought Mayo was an option due to being out of state but low and behold, I was moved to make the call, and they accepted my insurance. Best wishes on whatever path you choose. I hope all goes well!