Should I have an Aquablation?

Posted by skybig @skybig, 11 hours ago

I'm 67 years old and was diagnosed with Prostate Cancer this past fall. A routine PSA test showed that my PSA jumped from 2.1 up to 5.7. So my doctor sent me for an MRI which showed I had a small lesion (2mm) that the Radiologist suspected was cancer and I then had a biopsy which proved it. I have a very slow growing cancer and doctors just want to watch it right now. The MRI also showed that my prostate is enlarged but nothing crazy at 79.5 cc. However the MRI also showed that my prostate is growing up into my bladder 26.4 mm. They called it an Intravesical Prostatic Protrusion and the doctors were concerned about it and recommend that I have an Aquablation to remove the protrusion and to reduce the overall size of the prostate. I thought about having my prostate removed but there are too many adverse side effects doing that. The doctors tell me with such a large protrusion that I'm prone to bladder infections and other problems. I'm not sure what I should do, the aquablation seems so ......

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

Another one to look at is proatatic artery embolization/ PAE , which is a very easy procedure. I couldn't tell you what is best in your situation, but these procedures work.

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I asked about using PAE and the urologist had nothing bad to say about the procedure, except that it probably wasn't the best procedure to address my issues.

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Is there some reason they picked anquablation over other focal therapy techniques? I have absolutely no idea what would be the best treatment, But it definitely sounds like you need to do something.

At the Wednesday Mayo Clinic online prostate cancer meeting the doctor talked about radiation treatments. He did say that working with a prostate that was over 75 cc was a problem. Doctors prefer not to radiate when it gets that big. Some will do it.

I just bring this up because you have a problematic prostate and maybe that aquablation is a solution

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I would consider Tulsa Pro. It will take care of the enlarged prostate (it is sometimes used only for that) and the cancer.

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