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.

I had RP at 71 PSA 43 Gleasons 7-9 Left me a eunuch (ED) in a perpetually very wet diaper, (this was BY FAR the worst SE from the surgery) really no other choice as my PSA and Gleason scores were so poor. Recovery was O.K. A week with wound drain tube and urine bag and catheter. Uncomfortable for sure but only for a week. I was very fit after over 40 years of Rugby. No other health problems at all. "Sportin Wood" is a thing of the past. Bummer!
Best
SW

REPLY
@laccoameno5

I had RP at 71 PSA 43 Gleasons 7-9 Left me a eunuch (ED) in a perpetually very wet diaper, (this was BY FAR the worst SE from the surgery) really no other choice as my PSA and Gleason scores were so poor. Recovery was O.K. A week with wound drain tube and urine bag and catheter. Uncomfortable for sure but only for a week. I was very fit after over 40 years of Rugby. No other health problems at all. "Sportin Wood" is a thing of the past. Bummer!
Best
SW

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So sorry to hear that you have bad experience with side effects : (. How long ago was your surgery, if you do not mind me asking ? Did you consider restoring urinary control through procedures like male slings or the artificial urinary sphincter (AUS) ? There is also new method called ProAct.

Also, if you go through posts on this forum you will find a lot of advice about possibly solving ED problem.

I really hope that all will get better with time .

REPLY
@surftohealth88

So sorry to hear that you have bad experience with side effects : (. How long ago was your surgery, if you do not mind me asking ? Did you consider restoring urinary control through procedures like male slings or the artificial urinary sphincter (AUS) ? There is also new method called ProAct.

Also, if you go through posts on this forum you will find a lot of advice about possibly solving ED problem.

I really hope that all will get better with time .

Jump to this post

My RP was done May 2019. Those products you suggest are 1) some kind of valve or AUS implanted pressure point to control stress incontinence caused by lifting, sneezing, ccoughing. It's really just artificial plumbing. Quoting my oncologist: How many pads a day do you use? Pads? Well doc"I just use a trash can liner and wear it as a kilt". Stress incontinence? Ha! mine is more like a slightly running faucet all the time except slightly less when laying down. 2)Others suggested are just really heavy duty vinyl diapers, as above just loads of Depends with paper towels as a back up. I have also found it wise to check ahead at any upcoming social venue to make sure seating is plastic or vinyl. Just the best live in girlfriend 12 years now. No woman would tolerate an impotent old geezer leaking all the time.
My reality, coupled with the horrors of Lupron, I now know what hell is like
SW

REPLY
@laccoameno5

My RP was done May 2019. Those products you suggest are 1) some kind of valve or AUS implanted pressure point to control stress incontinence caused by lifting, sneezing, ccoughing. It's really just artificial plumbing. Quoting my oncologist: How many pads a day do you use? Pads? Well doc"I just use a trash can liner and wear it as a kilt". Stress incontinence? Ha! mine is more like a slightly running faucet all the time except slightly less when laying down. 2)Others suggested are just really heavy duty vinyl diapers, as above just loads of Depends with paper towels as a back up. I have also found it wise to check ahead at any upcoming social venue to make sure seating is plastic or vinyl. Just the best live in girlfriend 12 years now. No woman would tolerate an impotent old geezer leaking all the time.
My reality, coupled with the horrors of Lupron, I now know what hell is like
SW

Jump to this post

I can imagine how challenging it is and I am truly sorry that you have to endure that :(.

Did you ever have chance to talk to very competent urologist, somebody who specializes in correcting incontinence ?

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