Is 76 too old for prostate cancer surgery?

Posted by bobv48 @bobv48, May 25, 2024

A urologist my brother asked regarding my wondering about surgery vs radiation said that no one 76 years old should get the surgery. Does this square with what anyone else may have heard?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Patrick Walsh MD the father of Robotic Surgery once said that he would not do prostate surgery on a man over 70 unless he brought his parents in too.

REPLY

I had surgery when I was 73. I’m grateful to be continent and able to embrace an active lifestyle.
Good luck with your decision.

REPLY

What is more important to you now? Quality or Quantity of years? Make sure you understand the side effect of the treatment that you choose. Once it is removed there is no turning back. Good luck with whatever you choose.

REPLY

I was 74 when I had robo surgery at UCLA and that was about 4 years ago. My initial prognosis was very poor. I have had good results, G9, locally advanced, CR, aggressive. My treatment was part of the Erleada clinical trial and I am thankful for the results and inclusion in this trial. PSA still undetectable and no salvage radiation thus far, knock on wood!

REPLY

Hi Bob, I think depends a lot on your current health they don’t call “radical” for no reason besides the surgery it’s the healing and recovery processes that also takes a toll on our bodies. I would have a second opinion perhaps you could find a alternative treatment, I’m not a Doctor so that is just my opinion

Zzotte

REPLY

I agree with this comment. I went into PC surgery in really good shape otherwise, but I was pretty much confined to just walking for months after my surgery.

REPLY

I am 71 and just had prostratectomy. It is no walk in the park however, I would do it at 75.
I would imagine your fitness level, how aggressive the cancer is and how comfortable you are with surgery and then possibly ED and incontinence need to be considered among other things
If you believe you will live longer than the prostrate cancer (in other words putting it off might take away some years you want)then I would go for it
just my two cents

REPLY
@jbonsoe

I was diagnosed with prostate cancer, Gleason 3/4. For second opinion went to Mayo Rochester.
I was told surgery was not an option due to my age, 77. They informed me that the cut off age is 70, unless I wished to wear a diaper for the rest of my life. Radiologist recommended 5 Proton treatments administered over a 2-week period. I was injected with Space Oar with sedation. I am happy I chose sedation because even though I could hear voices, I couldn't understand the words, a relief since there were 2 female and one male tech present. I experienced only minor side effects from the treatments. After the 4th treatment I had some difficulty urinating. I was prescribed Flo Max which instantly took care of the problem. I now been 1 1/2 years since Proton treatments and PSA is 0.01

Jump to this post

Wow, that’s surprising - 70 is the cutoff for all surgery? Seems kind of rigid since some men would still want it over radiation. But I think it is a very honest, realistic assessment of how far radiation has come in the last 10 years. Thanks for the info!
Phil

REPLY
Please sign in or register to post a reply.