DECISION TIME
mjhud posted:
JUST BEEN CHECKED FOR PROSTRATE CANCER FROM BIOPSY AND DOCTOR SAID THAT OF THE TWELVE AREAS HE CHECKED, THREE HAD CELLS OF A LOW GRADE NATURE? MY QUESTION IS TO HAVE THE PROSTRATE REMOVED TO PREVENT FURTHER SPREADING, AND WHAT KIND OF LIFE STYLE WILL THIS LEAVE ME AS TO HOW LEAKING WILL BE AND IF ANY OTHER LEAKING CAN OCCUR FROM THE RECTUM.
9 Replies |Watch This Discussion | Report This| Share this:DECISION TIMEJUST BEEN CHECKED FOR PROSTRATE CANCER FROM BIOPSY AND DOCTOR SAID THAT OF THE TWELVE AREAS HE CHECKED, THREE HAD CELLS OF A LOW GRADE NATURE? MY QUESTION IS TO HAVE THE PROSTRATE REMOVED TO PREVENT FURTHER SPREADING, AND WHAT KIND OF LIFE STYLE WILL THIS LEAVE ME AS TO HOW LEAKING WILL BE AND IF ANY OTHER LEAKING CAN OCCUR FROM THE RECTUM.
BillH99 responded:
You need to get a copy of the biopsy. You need to know the Geason grade of the cells. And the percent of cancer cells seen.
And what is your age and PSA reading.
In addition to surgery there are several types of radiation and watchful waiting.
There are also a few less common treatments.
And what is your age and PSA reading.
In addition to surgery there are several types of radiation and watchful waiting.
There are also a few less common treatments.
Report This| Share this:DECISION TIMEYou need to get a copy of the biopsy. You need to know the Geason grade of the cells. And the percent of cancer cells seen.<br /><br />And what is your age and PSA reading.<br /><br />In addition to surgery there are several types of radiation and watchful waiting. <br /><br />There are also a few less common treatments.
thanks for your input, haven't been to doc.yet after biopsy. when he called he told me it was low grade? and it was in 3 of the 12 area's he checked. i will know more after doc visit on monday the 9th, thanks again, will get back to you, and by the way, is this similar to what you have been thru?
Report This| Share this:DECISION TIMEthanks for your input, haven't been to doc.yet after biopsy. when he called he told me it was low grade? and it was in 3 of the 12 area's he checked. i will know more after doc visit on monday the 9th, thanks again, will get back to you, and by the way, is this similar to what you have been thru?
Mine was somewhat different.
I had a TURP because of BHP. Pathology report showed less than 10% of the chips removed had PC with a Gleason score of 3 3.
That is low grade.
I decided on treatment. But if I did not I wanted a biopsy before hand as the TURP does not sample all of the prostate.
The reason that I decided on treatment was that I am 66 and in good health. But did not want to have the PC increase in say 5-10 years and not be as healthy and not having the options for some treatments.
And I found a relatively new study that indicated that if you had PSA of 2 or higher at age 60 and then got PC that the probability of it being aggressive is high (75% IIRC). And mine was 2.3 at age 59.
in general the success rate with both surgery and radiation are the same. But there are no head to head studies.
A study last year of people 2 years after treatment both those that had surgery and had radiation reported the same qualify of life.
But those are based on self-reporting and something that bothers one person might not bother the next one.
In general people that have surgery or more like to have urinary incontinence and people who have had radiation or more like to have bowel problems.
And I already have some minor bowel problems and the though of bowel problems was a real concern.
Also I did not like the though of 6-8 weeks, 5 days a week of radiation treatments. Although there are some that are shorter.
You asked about "leakage".
In some cases the rectum is damage during the surgery. The prostate lays right next to it. This is not a common problem. But i don't know the percentage.
Urinary incontinence and ED are common problems with surgery. But they typically improve over 6-12 months.
As you start looking at you options you will find more specific statistics.
In my case I had a catheter for 7 days and after it was removed I had urinary control after 8 days and my erections 10 days. But I know that quick of recovery is not common.
Besides the luck of the draw I credit that with being of normal weight and physically fit and active. A study has shown that those that are over weight has 30% more problems and those that are not fit have 30% more problems. And those that are both 60% more problems.
And I just finished a round of physical therapy for back and hip problems. And i practiced the kegel exercises before the surgery.
And I am glad that I had the surgery.
The pathology report of the removed prostate showed that the PC was more extensive that originally thought. It was up graded from 3 3 to 3 4. And the PC was into the capsule, but not through it. So it was still contained.
I had a TURP because of BHP. Pathology report showed less than 10% of the chips removed had PC with a Gleason score of 3 3.
That is low grade.
I decided on treatment. But if I did not I wanted a biopsy before hand as the TURP does not sample all of the prostate.
The reason that I decided on treatment was that I am 66 and in good health. But did not want to have the PC increase in say 5-10 years and not be as healthy and not having the options for some treatments.
And I found a relatively new study that indicated that if you had PSA of 2 or higher at age 60 and then got PC that the probability of it being aggressive is high (75% IIRC). And mine was 2.3 at age 59.
in general the success rate with both surgery and radiation are the same. But there are no head to head studies.
A study last year of people 2 years after treatment both those that had surgery and had radiation reported the same qualify of life.
But those are based on self-reporting and something that bothers one person might not bother the next one.
In general people that have surgery or more like to have urinary incontinence and people who have had radiation or more like to have bowel problems.
And I already have some minor bowel problems and the though of bowel problems was a real concern.
Also I did not like the though of 6-8 weeks, 5 days a week of radiation treatments. Although there are some that are shorter.
You asked about "leakage".
In some cases the rectum is damage during the surgery. The prostate lays right next to it. This is not a common problem. But i don't know the percentage.
Urinary incontinence and ED are common problems with surgery. But they typically improve over 6-12 months.
As you start looking at you options you will find more specific statistics.
In my case I had a catheter for 7 days and after it was removed I had urinary control after 8 days and my erections 10 days. But I know that quick of recovery is not common.
Besides the luck of the draw I credit that with being of normal weight and physically fit and active. A study has shown that those that are over weight has 30% more problems and those that are not fit have 30% more problems. And those that are both 60% more problems.
And I just finished a round of physical therapy for back and hip problems. And i practiced the kegel exercises before the surgery.
And I am glad that I had the surgery.
The pathology report of the removed prostate showed that the PC was more extensive that originally thought. It was up graded from 3 3 to 3 4. And the PC was into the capsule, but not through it. So it was still contained.
Report This| Share this:DECISION TIMEMine was somewhat different.<br /><br />I had a TURP because of BHP. Pathology report showed less than 10% of the chips removed had PC with a Gleason score of 3 3. <br /><br />That is low grade. <br /><br />I decided on treatment. But if I did not I wanted a biopsy before hand as the TURP does not sample all of the prostate.<br /><br />The reason that I decided on treatment was that I am 66 and in good health. But did not want to have the PC increase in say 5-10 years and not be as healthy and not having the options for some treatments.<br /><br />And I found a relatively new study that indicated that if you had PSA of 2 or higher at age 60 and then got PC that the probability of it being aggressive is high (75% IIRC). And mine was 2.3 at age 59.<br /><br />in general the success rate with both surgery and radiation are the same. But there are no head to head studies.<br /><br />A study last year of people 2 years after treatment both those that had surgery and had radiation reported the same qualify of life.<br /><br />But those are based on self-reporting and something that bothers one person might not bother the next one.<br /><br />In general people that have surgery or more like to have urinary incontinence and people who have had radiation or more like to have bowel problems.<br /><br />And I already have some minor bowel problems and the though of bowel problems was a real concern.<br /><br />Also I did not like the though of 6-8 weeks, 5 days a week of radiation treatments. Although there are some that are shorter.<br /><br />You asked about "leakage". <br /><br />In some cases the rectum is damage during the surgery. The prostate lays right next to it. This is not a common problem. But i don't know the percentage.<br /><br />Urinary incontinence and ED are common problems with surgery. But they typically improve over 6-12 months. <br /><br />As you start looking at you options you will find more specific statistics.<br /><br />In my case I had a catheter for 7 days and after it was removed I had urinary control after 8 days and my erections 10 days. But I know that quick of recovery is not common.<br /><br />Besides the luck of the draw I credit that with being of normal weight and physically fit and active. A study has shown that those that are over weight has 30% more problems and those that are not fit have 30% more problems. And those that are both 60% more problems.<br /><br />And I just finished a round of physical therapy for back and hip problems. And i practiced the kegel exercises before the surgery.<br /><br />And I am glad that I had the surgery.<br /><br />The pathology report of the removed prostate showed that the PC was more extensive that originally thought. It was up graded from 3 3 to 3 4. And the PC was into the capsule, but not through it. So it was still contained.
While you are waiting to see the doc, pick up a copy of "Guide to Surviving prostate cancer" by Dr. Patrick Walsh and learn what lies ahead, what choices you have, what to expect...it's available anywhere, including eBay or Amazon
Report This| Share this:DECISION TIMEWhile you are waiting to see the doc, pick up a copy of "Guide to Surviving prostate cancer" by Dr. Patrick Walsh and learn what lies ahead, what choices you have, what to expect...it's available anywhere, including eBay or Amazon
thanks for your inpurt. been to the doc, he explained that because of my age, 71, surgery was not recommened because my gleason score was 3 3 & 3 3 for 6 considered a low grade slow moving, so my options were: 1 watch and wait with reg.psa and another biopsy in 6 mo. 2. was the radiation seeds inserted and explained the plus's and neg's of that. 3. he said that the method he thought i should follow was the freezing of the prostrate etc. because the side effects were less and the killing of the cells was more effectially sure. so i am at the stage of deciding whats best for me and what i could handle after either procedure.
Report This| Share this:DECISION TIMEthanks for your inpurt. been to the doc, he explained that because of my age, 71, surgery was not recommened because my gleason score was 3 3 & 3 3 for 6 considered a low grade slow moving, so my options were: 1 watch and wait with reg.psa and another biopsy in 6 mo. 2. was the radiation seeds inserted and explained the plus's and neg's of that. 3. he said that the method he thought i should follow was the freezing of the prostrate etc. because the side effects were less and the killing of the cells was more effectially sure. so i am at the stage of deciding whats best for me and what i could handle after either procedure.
As radiation treatment (in all its forms) has made rapid advancements, the cryogenic treatment is losing favor..Impotence is almost guaranteed and curing your cancer is not guaranteed..Look into the seeds plus IGRT combo treatment and get a very high cure rate and low side-effects..Like ALL PC treatment, success depends on the skill of the practitioner..On the bright side, very few men die of Gleason 6 PC...So no matter what treatment you choose, the results will be good...
Report This| Share this:DECISION TIMEAs radiation treatment (in all its forms) has made rapid advancements, the cryogenic treatment is losing favor..Impotence is almost guaranteed and curing your cancer is not guaranteed..Look into the seeds plus IGRT combo treatment and get a very high cure rate and low side-effects..Like ALL PC treatment, success depends on the skill of the practitioner..On the bright side, very few men die of Gleason 6 PC...So no matter what treatment you choose, the results will be good...<img src="http://img.webmd.com/community/images/smile.gif" align="top" border="0">
wifeofpatient replied to BillH99's response:
I like your recovery report. My husband is 50 and in pretty good shape and not over weight, He will be having robotic prostatectomy in about a month. He is already doing the kagel and we are studying to see what to expect. Do you have any other advise. I have order the books that were recommended.
Report This| Share this:DECISION TIMEI like your recovery report. My husband is 50 and in pretty good shape and not over weight, He will be having robotic prostatectomy in about a month. He is already doing the kagel and we are studying to see what to expect. Do you have any other advise. I have order the books that were recommended.
miguelito51 replied to wifeofpatient's response:
had the robotic procedure at the mayo clinic in phoenix...am very happy with the results...life will be different for sure, but recovery was quick and after my checkup, there was no trace of cancer! woo hoo! do those kegel exercises! it will def make a difference. as far as the quality of life...nerve sparing surgery will give you a distinct advantage if performed by someone who knows what he/she is doing. being as your hubby is somewhat young (like myself), the opportunity for a trifecta ( sexual function, continence, and no cancer) is a good one. i'm real happy i went with the surgery - it has only been almost 5 months, and sexual function is close...viagra does make a difference, but it's more of a reassurance than anything else. just be patient! no leakage, however, and positivety is very important! i'm not a fan of radiation unless one is a bit older...although a slow moving cancer, sometimes it can be a bit more aggressive in younger patients from what i understand. your husband should do very well if he is in good shape. good luck...
Report This| Share this:DECISION TIMEhad the robotic procedure at the mayo clinic in phoenix...am very happy with the results...life will be different for sure, but recovery was quick and after my checkup, there was no trace of cancer! woo hoo! do those kegel exercises! it will def make a difference. as far as the quality of life...nerve sparing surgery will give you a distinct advantage if performed by someone who knows what he/she is doing. being as your hubby is somewhat young (like myself), the opportunity for a trifecta ( sexual function, continence, and no cancer) is a good one. i'm real happy i went with the surgery - it has only been almost 5 months, and sexual function is close...viagra does make a difference, but it's more of a reassurance than anything else. just be patient! no leakage, however, and positivety is very important! i'm not a fan of radiation unless one is a bit older...although a slow moving cancer, sometimes it can be a bit more aggressive in younger patients from what i understand. your husband should do very well if he is in good shape. good luck...
I too had the DaVinci robotic surgery, I too had to wear the foley cath. It was a great relief when removed after 7 days. That was my worst part of the surgery. I was cut one morning and sent home the very next day at noon. It is extreamly better results compared to radical surgery and saves the nerves which alot of the times they are not saved with a radical surgey. Less complications and blood loss. Good luck to you with your choice.
Report This| Share this:DECISION TIMEI too had the DaVinci robotic surgery, I too had to wear the foley cath. It was a great relief when removed after 7 days. That was my worst part of the surgery. I was cut one morning and sent home the very next day at noon. It is extreamly better results compared to radical surgery and saves the nerves which alot of the times they are not saved with a radical surgey. Less complications and blood loss. Good luck to you with your choice.
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