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treatment dilemma

User
Posted 20 Jun 2017 at 10:45

Hi Willwest

I am 9 months on from brachytherapy and i was offered radical removal, with PSA 2.19 and Gleason 3+4=7 i think i only had the trus that i was knocked out for and don't remember being offered a template.

Only you can decide what route to take and i am not sure if i made the right decision but i hope i did as there are no guarantees with prostate cancer.

The only one i would not take at my age 71 was AS but it was not offered it so was fine with the choice i made.

My latest PSA is 0.59 and dropping and i have had no bowel or urine problems apart from a little tenderness in the early days and i stopped taking tamulosen three months ago.

John.

 

New Update 15.30 20/06/17.

 

 

Hi I have looked up TRUS and TEMPLATE and as i don't wish to confuse anyone I think i maybe had the TEMPLATE as how else could they get the Gleason score and how many cancers i had.I will ask the question  when i see the Specialist next week.

Edited by member 20 Jun 2017 at 14:08  | Reason: Not specified

User
Posted 20 Jun 2017 at 10:47

Hi Andrew. I do understand. To clarify, my hope is that I will be offered active surveillance if the template scan result is favourable. If the cancer is indeed slow, then dietary changes and daily ingestion of pomegranate juice etc may well slow it even further. I already eat pretty healthily, don't drink or smoke, and take (some) exercise, but there are some specific improvements I can make now I know the enemy.

I'm instinctively wary of any invasive procedure. The shock to the system is profound, and side effects inevitable. That said, if I'm told that cancer is spreading and death will be inevitable if it's not treated, then no doubt fear will get the upper hand and expediency will triumph! Although, honestly, if it's a case of just adding another five years of incontinence and discomfort, I may well opt for early check out. I don't fear death, although there's certainly trepidation about departure...

Not sure about spread. I only have the numbers written in my patient booklet (see original post) but not sure what they really mean. I do know the MRI & biopsy results didn't correlate, which is why they want to do a further biopsy before deciding whether active surveillance is an option at all. 

The other options were radical surgery or hormones with radiotherapy.

Edited by member 20 Jun 2017 at 10:53  | Reason: Not specified

User
Posted 20 Jun 2017 at 14:14

I think you probably had the template John. It's done under general anaesthetic. They don't knock you out for the TRUS.

User
Posted 20 Jun 2017 at 16:02

Some do

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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