Can't understand why anyone would choose surgery over Brachytherapy? I must be missing something?

Hi Barry 

Thanks for your kind Comment 

Yes sadly I was forced to have a surgery operation..and it took from beginning to end only 6 months maybe less.

NO ! A big NO ! 

hands on they did not give any leaflets about risks of The surgery. 

Only the risks I was told about ED.thats all.

They did not mention about risks of Catheter users catching infections. 

They did not mention about adhesions 

They did not mention about long term effects of not to lift up heavy items.

They did not mention about any kind of internal pains.

There are so much to talk about but I'm right now in so much anger this time of the night.

I was framed up that's all I can say

My ex girlfriend  to be undercover she played a big role in it!

Thanks for your kind comments 

Let me explain and add more about my case please. 

I have inconsiderate neighbours nextdoors and below my apartment flat. I could hear noises where I shouldn't hear ,my nextdoor neighbour he plays music 7 days a week from 8 am until 8pm sometimes later than that.

I Walker into a police station 4 years ago I asked them to help me stop me being a criminal person. 

I waited for my nextdoor man to come put days after day but he did not so I could talk to him civil ways  or none civil ways.

He just says he has rights to play music's even on Christmas days,new years eve new years days

I'm a social house tenant  I'm unemployed I have got physical disabilities had surgery operation for my leg .

Have contacted with Housing associations but received no help.i even attended their open days to raise my issues guess what they offered me a flat but where? Steveange!! Miles away from London 

All my life I lived in London dont know anyone from stevenage why should I relocate there?

Anyway Before I attended to that meeting at housing associations I had maybe 10 times meetings regarding the noises with Housing area manager.I invited him to my place he came around and he heard still nothing had been done.

I contacted with a local MP still nothing done.

A friend of mine who works for CAB citizen advise bureau he wrote them letters,Emails but no actions taken.

I'm not a psychopath with anger butcher people for nothing, so I taken calming tablets such as Amitriptyline and aroprazol with their help I sleep longer and keeps me calm...so why I'm telling you about all these.

You mentioned that why I did not do my research?

Well my mind was everywhere I cannot think healthy ways.even now days I got to watch my phones calendar to know what days I'm having .

Those medicines made me not to think healthy way. And stupidly I took the decision and go ahead with that Surgery operation. 

Ohhh by the way the nurse at the hospital whom told me that I have a cancer she also said IM your nurse from now on if you wish to contact with me here is my numbers  blah blah blah blah yes I contacted with her but couldn't reach her at all left messages many times than had recieved nothing heard nothing. 

My ex girlfriend to be B.....h is a civil servant so she destroyed my life .she was even on nextdoors side as well she was kinda defending them

Also she was keep saying ohhh you got to go ahead with surgery for me.for us blah blah.

Anyway ...she is history now

Hope you can understand my feelings mate.

But when this (NHS) people arranges pre operation MEETINGs 

I want to go and infrom about the untold stories to those people whom will be attending the meetings. 

I dont want them to be disappointed like me.

That's an interesting piece Barry.   My Gleason was 8 which puts me in high risk even though the other 2 measures are low risk.

I compared RP with RT on the ellipses.   RP looked worse but I'm not so sure it is when looking at the individual samples.    It looks like there are more RP specimens especially in the later years.  That might be because of the type of patient, the state of the technology, or that RP patients last longer and that might be because of age, etc.

Should we take the ellipses as a genuine summary or just a convenience?  It needs more looking at.  There is a button for looking at the study and I might get to that.  Good piece.

Regards
Peter

A brief update for you all - Decided to go for the surgery option. Being totally honest with you and myself I never really liked the idea radiotherapy, regardless of how simple! It was all made out to be. The whole concept it has never sat well with me and being an engineer by profession the thought of just getting rid of something that’s gone wrong as opposed to trying to mend it seems a much more sensible idea, rightly or wrongly. Given my age (51) and the total lack  of any previous problems with ED and my waterworks I’m hoping that with time and a bit of good luck things should go well.  I’m in a very fortunate position as I have private health cover through my wife’s work policy, so have been able to get things rolling very quickly. I have spoken to 2 surgeons about the operation, the first one in Manchester, got on very well with him and felt confident he and his team would do as good a job as they were able to , unfortunately he was unable to give me a definite date due the covid situation, he didn’t seem to think a short delay would impact the outcome but impatient me had already made his mind up so didn’t want to wait any longer than necessary. Info on here and some time on the net lead me to another in  Birmingham. I managed to get an appointment within the week and again I’m super impressed and super happy with the surgeon and clinic so far.  After looking at the scans and biopsy results he is confident he can spare both nerve bundles and has given me a high probability of being able to remove all of the tumour during the operation. I realise that surgeons are most definitely more Tigger than Eeyore but he’s done 3000 of them with a good degree of success, so I guess he knows what he’s talking about. The clinics before and aftercare also appears to be of a high standard and the operation will be at a Covid green/free hospital in Solihull so that’s hopefully one less thing to worry about. 

My first counselling session with a nurse specialist is in a couple of weeks, MDT review on the 9th , Pre op and covid swab the week after that then surgery on the 22nd of February, what a rollercoaster start of 2021 ! 

Edited by member 30 Jan 2021 at 20:47  | Reason: Spelling

The risk group classifications there rank T2c as high-risk: I've seen it ranked as intermediate risk (e.g. this 2015 paper), and was wondering what is it about the cancer being in both sides that makes it high-risk?

The Predict Prostate tool also groups it with all T2 stages.

I'm GG2 - Gleason 7 (3+4) in two cores, 3+3 in one - nothing on DRE, 6.7 PSA, ok PSA density and doubling rate, contained (N0, M0), asymptomatic...it's just the T2c that seems to be much less favourable risk.