1. < Prostate Cancer

Why did you choose surgery instead of radiation or vise versa?

Posted by ozelli @ozelli, Oct 13, 2023

I think this may be a topic that the newly diagnosed may find useful.

The differences are often subtle which makes the decision even more difficult but better to be information-overloaded rather than information-deprived.

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

kjacko | @kjacko | Oct 23, 2023
In reply to @hammer101 "kjacko - Best of luck with your surgery and I pray all goes well. I assume..." + (show)
@hammer101

kjacko - Best of luck with your surgery and I pray all goes well. I assume you have chosen a center of excellence for your surgery. I did a lo of research and chose Mayo - Rochester and Dr. Igor Frank. Amazing hospital, surgeon, and staff. The quality of life for the rest of your life will depend on the competence of the surgeon and his staff.

I will be praying that all goes well and you come out with negative margins and full control of your equipment.

Jim

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Thanks for the kind words Jim. I am having my surgery done by one of the top surgeons in the Greater Milwaukee area. He has a great track record and has done over 1000. I felt very comfortable when discussing the entire process with him. 🙏🤞

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hammer101 | @hammer101 | Oct 24, 2023
In reply to @kjacko "Thanks for the kind words Jim. I am having my surgery done by one of the..." + (show)
@kjacko

Thanks for the kind words Jim. I am having my surgery done by one of the top surgeons in the Greater Milwaukee area. He has a great track record and has done over 1000. I felt very comfortable when discussing the entire process with him. 🙏🤞

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Awesome, sounds like you have done your homework and will not be on a doctor's learning curve.

Jim

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laccoameno5 | @laccoameno5 | May 19 3:27pm
In reply to @edmond1971 "Similar to the above, I was 41 when I had to deal with the first round..." + (show)
@edmond1971

Similar to the above, I was 41 when I had to deal with the first round of PCA and the best long-term strategy was to remove the prostate and then keep all the other options available.

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Very sad! Hopefully you will avoid the almost guaranteed ED and incontinence that comes with the removal of your prostate. Some surgeons claim that "nerve sparing" RP is possible but the reality is usually very different. I have been thinking that an expert neurosurgeon (brain and spinal)would be far more qualified for this VERY delicate operation. If your PC is contained within the prostate your prognosis is better. Even presenting with this the chances are at best 50/50 for the bad stuff.
Lacco

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topf | @topf | May 19 4:28pm

Will have surgery in 4 weeks. Diagnosed at age 51 with Gleason 8, two cores with 10% volume. Another five mostly equally low volume gleason 6. Tumor looks prostate-confined on MRI and PSMA.

Surgery still apoears to have the higher cure rate. Radiation (IMRT+Brachy boost + ADT) has cure rate of 75-80%. Surgery alone is lower but after factoring in the possibility of SRT it beats radiation. Also, no radiologist told me that RT would be my better option. One said, he would do RP if in my shoes.

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