1. < Prostate Cancer
Profile picture for Cannondale

Can you recommend a Prostate surgeon or Radiologist at Mayo Rochester?

Posted by Cannondale @tactive, Jul 21 2:36pm

I am 53 years old and have recently been diagnosed with prostate cancer, Gleason 3+4 =7

I am considering HDR Brachytherapy vs Prostatectomy. I am concerned with long term side effects.

Therefore I am hoping to get recommendations for a skilled surgeon and/or radiologist at the Mayo clinic (Rochester Minnesota).

My concerns are as follows:
Lowest rate of recurrence
Low rated of incontinence
Low rates of ED

If you had a good experience with a Prostate surgeon or Radiologist at Mayo clinic Rochester MN, could you please share their name and why you recommend the doctor ?

Your thoughts and recommendations are greatly appreciated.

Thank you very much

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

Profile picture for lag
lag | @lag | Jul 21 4:52pm

Since you mention HDR brachytherapy, I assume you mean a radiation oncologist rather than a radiologist. My husband has been treated several times with SBRT by Ryan Phillips, MD PhD, and we have found him not only knowledgeable and experienced, but also easy to talk to and generous with his time. Dr. Phillips' bio on the Mayo Rochester site lists several other types of radiation oncology treatments he performs and specifically mentions HDR brachytherapy for prostate cancer. Hope this helps, and good luck.

REPLY
2 replies
Profile picture for Cannondale
Cannondale | @tactive | Jul 21 10:12pm
In reply to @lag "Since you mention HDR brachytherapy, I assume you mean a radiation oncologist rather than a radiologist...." + (show)
Profile picture for lag @lag

Since you mention HDR brachytherapy, I assume you mean a radiation oncologist rather than a radiologist. My husband has been treated several times with SBRT by Ryan Phillips, MD PhD, and we have found him not only knowledgeable and experienced, but also easy to talk to and generous with his time. Dr. Phillips' bio on the Mayo Rochester site lists several other types of radiation oncology treatments he performs and specifically mentions HDR brachytherapy for prostate cancer. Hope this helps, and good luck.

Jump to this post

@lag thank you very much.

REPLY
Profile picture for jcf58
jcf58 | @jcf58 | Jul 22 7:12am

Hard to make recommendations with the minimum amount of data in your post. I did Tulsa Pro at Rochester two years ago with Dr. David Woodrum. I too was looking for a low risk of side effects and my Gleason 4+3 in a single lesion was easily treated. I also was OK with the fact that Tulsa does not have long-term data yet. I was willing to kick the can down the road a bit if I could avoid side effects for a few years, I was 65 when treated. I am two years out from my treatment and no evidence of disease at this point. I also had zero side effects. You are much younger, and you may have some other factors that would not make Tulsa a good choice for you. I took this off of the ChatGPT this morning:
TULSA-PRO can be a good alternative for some 53-year-olds with Gleason 3+4 disease, but whether it’s the best option depends on details such as:

* PSA level.
* MRI findings (number and location of lesions).
* Number and percentage of positive biopsy cores.
* Presence or absence of cribriform pattern or intraductal carcinoma.
* Genomic testing (such as Decipher), if performed.
Good luck.

REPLY
1 reply
Profile picture for Cannondale
Cannondale | @tactive | Jul 22 11:35am
In reply to @lag "Since you mention HDR brachytherapy, I assume you mean a radiation oncologist rather than a radiologist...." + (show)
Profile picture for lag @lag

Since you mention HDR brachytherapy, I assume you mean a radiation oncologist rather than a radiologist. My husband has been treated several times with SBRT by Ryan Phillips, MD PhD, and we have found him not only knowledgeable and experienced, but also easy to talk to and generous with his time. Dr. Phillips' bio on the Mayo Rochester site lists several other types of radiation oncology treatments he performs and specifically mentions HDR brachytherapy for prostate cancer. Hope this helps, and good luck.

Jump to this post

@lag Thank you!

REPLY
Profile picture for Cannondale
Cannondale | @tactive | Jul 22 11:37am
In reply to @jcf58 "Hard to make recommendations with the minimum amount of data in your post. I did Tulsa..." + (show)
Profile picture for jcf58 @jcf58

Hard to make recommendations with the minimum amount of data in your post. I did Tulsa Pro at Rochester two years ago with Dr. David Woodrum. I too was looking for a low risk of side effects and my Gleason 4+3 in a single lesion was easily treated. I also was OK with the fact that Tulsa does not have long-term data yet. I was willing to kick the can down the road a bit if I could avoid side effects for a few years, I was 65 when treated. I am two years out from my treatment and no evidence of disease at this point. I also had zero side effects. You are much younger, and you may have some other factors that would not make Tulsa a good choice for you. I took this off of the ChatGPT this morning:
TULSA-PRO can be a good alternative for some 53-year-olds with Gleason 3+4 disease, but whether it’s the best option depends on details such as:

* PSA level.
* MRI findings (number and location of lesions).
* Number and percentage of positive biopsy cores.
* Presence or absence of cribriform pattern or intraductal carcinoma.
* Genomic testing (such as Decipher), if performed.
Good luck.

Jump to this post

@jcf58 Thank you!

REPLY
Profile picture for rokski
rokski | @rokski | Jul 23 8:55am

I’ve had nothing but good care there! Dr Kwon , Dr Davis and my surgeon was Dr Iers… always great care!

REPLY
2 replies
Profile picture for Cannondale
Cannondale | @tactive | Jul 24 5:43am
In reply to @rokski "I’ve had nothing but good care there! Dr Kwon , Dr Davis and my surgeon was..." + (show)
Profile picture for rokski @rokski

I’ve had nothing but good care there! Dr Kwon , Dr Davis and my surgeon was Dr Iers… always great care!

Jump to this post

@rokski

REPLY
1 reply
Profile picture for Cannondale
Cannondale | @tactive | Jul 24 5:46am
In reply to @tactive "@rokski" + (show)

@tactive thank you very much for your reply.

Do you mind me asking, why do you recommend these doctors? How were they able to help you?

Thanks again.

REPLY
Please sign in or register to post a reply.