• is radicalprostatectomy my best option to treat my cancer?

    Asked by garcialatigo on Wednesday, February 13, 2013

    is radicalprostatectomy my best option to treat my cancer?

    2 Answers from the Community

    • TommyG's Avatar

      The best answer needs to consider your condition and the recommendations of doctors. I am currently in this decision process as I was diagnose the day after Christmas with Prostate Cancer, I’m only 52 with Gleason 6 and a PSA of 7.1

      My first step was to spend some time with my wife and in prayer to reflect on my Primary Objectives and Priorities in Life. My Three goals were Longevity to support my wife and children and to be around to see daughters grow up and get married and grow old with my wife; Quality of Life and Avoiding Risk such as complication in Surgery and because of my personal condition PE (blood clots), Cerebral hemorrhage and other risks with any major surgery. The priorities for quality of Life, for me start with avoiding impotence, limited incontinence and other side effects.

      Because of my youth, most books and some doctors recommend the Radical Prostatectomy as it has the greatest probability of no recurrence, but the greatest risk of complications, which increase due to my weight and history of a PE. Although the risk may be small, I have removed Radical Prostatectomy from my list of treatment and I am currently looking into the options of Radiation Oncology.

      You will need to determien what is most important to you and how your age and health effect the decision. Once you are 65, I would look hard at the other options.

      Good Luck and God Bless

      over 5 years ago
    • mgm48's Avatar
      mgm48 (Best Answer!)

      What a question! Best is always a relative thing and my experience is from 2005 when I had a radical. At the time the radical was the standard but new stuff like robotic surgery and proton beam were starting to be used. So I asked more than one of the doctors and came away with the conclusion that I think still has great merit today. If you have a good doctor, use the method he is most experienced with. When I had mine there were relatively few doctors with extensive experience with robotic prostatectomy. Mine was doing about 500 radicals per year with good success. I was also aware that the advantage of the robotic was supposed to be quicker recovery. My doctor really questioned that and told me he had not seen any such result. As it turned out I stayed in the hospital after my radical for a total of 19 hours and was back at work after 6 days. I've yet to hear about anyone who has had a better experience. I'd tell you to follow your doctor's lead. I'd also recommend that you do everything in your power to get in shape for your surgery, it will pay dividends.

      Keep it positive and smile :)

      over 5 years ago

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