How to choose treatment for prostate cancer?

Posted by irishpat70 @irishpat70, Apr 15 8:54pm

It is too difficult for my husband to decide on treatment for Prostate Cancer. We have sought 2 different opinions from 2 good healthcare systems. We have met with a radiologist and surgeon from each and they all say he falls right in the middle to choose either treatment type. I would like to present his stats and find out if anyone can help. He is 71 years old and had quad bypass surgery 10 years ago. He has a knee and hip replaced but otherwise does quite well. His Gleason score is 3+4=7. Removal was his initial reaction but was presented with more possible side effects than radiation. The radiation choices are very different, One is hormone shots, radiation 5 days a week for 6 weeks. The other is so different with 5 total rad treatments and uses some different prep procedures. There would be more prep to avoid rectum damage and gold markers placed to help exact rad placement. How in the world do we know what is best? We are not doctors and know doctors are not gods but should know far more than we do! At least to point toward one option or the other based on past patient outcomes. I just wish I could help him more. Thanking you in advance for your input!

@sanway

With PSA of .27, why do anything but AS

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I m post rp. 6 drs. have all said I need to do it

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@itterac

I m post rp. 6 drs. have all said I need to do it

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Wow! I have never come across someone with such a low number who went for treatment. I suppose there must be a bigger back story. My latest PSA was 5.4. Gleason is 3+3 and with all things considered, my medical team supports my decision for AS.
Best wishes to you.

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Thanks for ur input

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I strongly suggest you read this book: "You Can Beat Prostate Cancer And You Don't Need Surgery to Do It" – New Edition
by Robert Marckini | Feb 26, 2020
It lays out all your alternatives very clearly. Good luck.

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