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Dr. Mitchell Humphreys talks about prostate cancer.
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On Tuesday I go for my PSA test one month after 28 rounds of radiation therapy. My doctor is hopeful that my PSA level will go from 4.7 to a
.05. Last March my biopsy found I was a 7 Gleason score and that the cancer has not spread outside of the prostate gland. My side effects were minimal during the radiation therapy, thanks to the SPaceOAR which was inserted prior to my radiation therapy. I don’t know if I a out of the woods although what are the chances my cancer will come back.
I am having DaVinci robotic surgery to remove my prostate at Mayo Phoenix on Nov 22nd. Urinary incontinence is my greatest concern. What can I do to achieve the best outcomes? Also I have no clue as to the products I should purchase during the time I am incontinent.
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@markbenson, Mayo Clinic has a huge data base of information on urinary incontinence after prostate surgery. Here’s an excerpt from a Mayo new release from May of 2015:
“Urinary incontinence is common after prostate surgery. When it’s severe enough the ARTIFICIAL SPHINCTER is the gold standard for dealing with it,” says Dr. Daniel Elliott, a Mayo Clinic urologist. “A lot of men who had their prostates removed 15, 20 years ago when they were in their 60s, are now leaking in their 80s,” says Dr. Elliott. “They are otherwise healthy. But they’re also 80 years old. So the question is: How do these individuals do?”
When Mayo is talking about “gold standards” of treatment, I’m impressed, and I know they’ll give you answers to all your quandaries about how to deal with after-effects of the surgery — in the short term and for many years. And you have the good fortune of “tuning up” for eight weeks before hand.
Here’s a link to the news release: https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-urologists-to-present-findings-at-the-2015-american-urological-association-annual-meeting/
As a spouse of husband 9 weeks radiation.
Followed by Lupton shots the last four
years. Is there support people to converse with. Needless to say it does complicate
your life,in that,nothing is the same anymore.
Really affects personality.
Although, he does have some other
health maladies. COPD nebulizer three c day.
Hi @success101, Connect, as you know, has an active online support network for people living with prostate cancer and their supporters. Thank you for taking part in these discussions.
There are also discussions about COPD in the Lung Health group here: https://connect.mayoclinic.org/group/lung-conditions/
After a radical prostatectomy, my radiologist has been monitoring my PSA over the last 2.5 years the numbers have been going up and down but always in the low range not requiring radiation. Can you speak to this and when radiation would be needed. They mention probably a piece of benign prostate was left behind.
Thank you for your questions for today’s Q&A with Dr. Humphreys, @santi @markhouldsworth @markbenson @osgood1420 @kujhawk1978 @success101. The video is archived on this page should you wish to listen to it again.
Thankyou, I will read through
to success101: Perhaps my experience is similar to your husband. I had prostate removal 7 years ago, followed by radiation and then chemo. PSA stayed low, undetectable for awhile but began to slowly rise. Now on Lupron, for last year,PSA back down to less than 1. Oncologist, who I have been working with for 5 years is suggesting I also start on Zytiga along with Lupron. Usual treatment, from what I understand, is to take Zytiga when castrate resitance becomes apparent, ie cMRPC. However recent study has revealed it may be best to start before that point. I most liekly will go that route in next couple of months. Has similar treatment been suggested to you? I understand Zytiga quite expensive. I’ve had very minor side effects with Lupron. My Doc believes Zytiga will not compound side effects. Sounds like ideal approach.
An excellent idea. I will certainly,
ask his prostate Dr. ,if,he can do
The Lupron,is on going,in, that
It has gone for two years.
He was a 9 on Gleason scale
45 radiation treatments.
He is doing the best he can.
But, has altered lives.
Thank you for that i,formation.
Will be checking this out.
FYI, my Gleason scores ranged from 5-9. Re the Zytiga., I understand it is not yet FDA approved for pre-castrate resistant but manufacturer is seeking approval. That means that at this stage it may not be approved by insurance and as I mentioned it is supposedly expensive, probably in the Lupron range or even more. Best of luck. Keep the blog posted on process.
I will do that.
Thankyou, for your help.
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