SBRT vs. Robot-assisted radical prostatectomy

Posted by dandl48 Dave @dandl48, Jun 11, 2020

Well, my last visit to Mayo didn’t go as well as I wanted. I’m 72 years old and I had an Ultrasound-guided transperineal prostate biopsy and the results came back positive for cancer with a Gleason score of 4-3=7 and the Grade Group of 3 which is a Risk Group of Intermediate Unfavorable. With these results active surveillance is out and it’s either radiation or radical prostatectomy . If I choose radiation SBRT is available to me using protons for 5 treatments over a 10 day period. The downside of this treatment is I will have to have a 4 month Lupron injection before radiation and that if the cancer returns removal of the prostate would probably off the table. Choosing the radical prostatectomy which would be robot assisted, comes with its own problems, infection, incontinence and impotence. Decisions, decisions, I’m open for your input.

Thanks, Dave

@bruto1

I admire your commitment to the treatment regimen and respect your decision to stay safe from Covid 19 by driving to Mayo. Long journey, but I'm sure you'll see a successful outcome in the end. Worth it . . . !

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Had my Eligard shot on 7/1/2020 and to date the only side-effect is being more tired than usual. I'm sure that since I said this the hot flashes will be starting tonight or tomorrow.

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