Rising anxiety: my two doctors don't agree

Posted by bluegill @bluegill, Mar 18 7:04pm

I may have posted this before, but today my anxiety level is rising, and I have no idea how to decide. My two doctors (urologist and radiation oncologist) propose two radically different treatments. Urologist: stay on ADT for the rest of my life. Oncologist: brachytherapy. I've contacted Mayo in Rochester, and I hope they can be the tie-breaker. They will "call me" sometime.

So now I just wait.

(Gleason 9, radiation 5 years ago + over 3 years of Eligard)

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heavyphil | @heavyphil | Mar 20 7:42am

In reply to @stew80 "Can Brachy be done if I've had a previous TURP? I have heard different opinions on..." + (show)

Stew, it really depends on the extent of tissue removed. When I consulted my first RO, he told me that because I’d had Green Light Laser, the middle of my prostate was hollowed out and he couldn’t place seeds - they would basically have nothing to anchor to.
It was the Median Lobe that got lasered, probably the same one targeted in a TURP.

stew80 | @stew80 | Mar 20 10:49am

In reply to @heavyphil "Stew, it really depends on the extent of tissue removed. When I consulted my first RO,..." + (show)

I think I've got the same issue. Last time I had a cystoscopy I could see the tunnel in the middle on the screen. Too bad because it takes away one of the options for radiation.