Video Q&A about Prostate Cancer

Mon, Sep 25, 2017
5:00pm to 5:30pm CT

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Dr. Mitchell Humphreys talks about prostate cancer.

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Reported

I had radiation treatments after prostate removal 8 years ago. Incontinence is now severe. Are there any options for treatment?

@steve20

I had radiation treatments after prostate removal 8 years ago. Incontinence is now severe. Are there any options for treatment?

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@steve20, Mayo Clinic has a huge data base of information on urinary incontinence after prostate surgery. Here’s an excerpt from a Mayo new release on testimony given at a meeting of the American Urological Association in 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 lead author Daniel Elliott, M.D., 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?”

I’m impressed when I see Mayo talking about “gold standards” of treatment. I hope you’ll press them for an answer to your question and recommendations on how you can rely on Mayo to help you deal with your problem.

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/
Martin

Personally, I have a brother-in-law who is in his late 80’s that wears a colostomy bag (?spelling) and otherwise gets along fairly well.

@steve20

I had radiation treatments after prostate removal 8 years ago. Incontinence is now severe. Are there any options for treatment?

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Welcome to Connect, @steve20. This is a great question for the expert Q&A. We have submitted it to Dr. Humphreys. To watch the Q&A live, simply return to this page of Connect. The video will appear at the top of the screen.

@osgood1420

Personally, I have a brother-in-law who is in his late 80’s that wears a colostomy bag (?spelling) and otherwise gets along fairly well.

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Welcome to @osgood1420. You or your brother-in-law may be interested in the discussion on Connect about ostomy here:
– Ostomy: Adapting to life after colostomy, ileostomy or urostomy https://connect.mayoclinic.org/discussion/ostomy-adapting-to-life-after-colostomy-ileostomy-or-urostomy/

Does your brother-in-law have a urostomy for redirecting urine as a result of prostate cancer. Or does he have a colostomy for bowel or stool diversion as a result of another condition or surgery?

He lives out of state, I’ll give him a ring and find out from the horses mouth.

Had surgery in Mar 14, BCR 18 months later, SRT to prostate bed only starting in 16, that failed, With GS8, BCR <18 months, PSADT and PSAV <3 months had C11 Choline scan in Jan 17, four lymph nodes (iliac and par-aortic), completed six cycles taxotere and 25 radiation treatments and am 8 months through ADT of 24 months. PSA is undetectable and scans in Mar and Jun showed no uptake. Question, some differing thoughts on length of ADT, 24 months or 18…? No problem going 24 but wouldn’t be upset doing 18 if no decrease in remission time! What is Mayo’s current thoughts on ADT length?

@osgood1420

Personally, I have a brother-in-law who is in his late 80’s that wears a colostomy bag (?spelling) and otherwise gets along fairly well.

Jump to this post

He has has a urostomy for redirecting urine as a result from prostate cancer… 9/23/2017,

Welcome to Connect, @kujhawk1978,

Before the webinar, I thought you might be interested in viewing this information from Mayo Clinic about androgen deprivation therapy (ADT):
http://www.mayoclinic.org/tests-procedures/hormone-therapy-for-prostate-cancer/home/ovc-20201738

I would also like to encourage you to view these conversations taking place on Connect:
– Prostate cancer treatment: stereotactic body radiation therapy https://connect.mayoclinic.org/discussion/prostate-cancer-treatment/
– prostate cancer treatment choices https://connect.mayoclinic.org/discussion/prostate-cancer-treatment-choices/

To watch the Q&A live, simply return to this page of Connect. The video will appear at the top of the screen.

Would I be able to see the same thing tomorrow? I am very tired right now.

Hi @osgood1420,

You will be able to see the Q&A Live when it takes place on Monday, Sept. 25th. You can watch it during and after, at your convenience, right here on Connect.

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.

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.

@markbenson

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.

Jump to this post

@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.
July1968

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