I was just diagnosed within the last few weeks and have met with my urologist to talk about treatment options. I'm 51, T1c with PSA of 3.3. I had 4/12 samples with the highest being 3+4. He's recommending robotic radical prostatectomy.
I'm a little scared about the side effects (especially the sexual ones). Not sure whether I should go for a second opinion though everything I've read so far seems to square with what he's recommending. I'd love to hear from anyone who's been through the procedure what their experiences were. Thanks.View Thread
Gotta get used to the keyboard shortcuts for Mac vs. PC. Here's what I was trying to say before I accidentally copied nothing (and posted nothing useful as well):
I'm not sure what to think now. Had an appointment with a urologist at Hopkins and he recommended open RP over robotic. I asked if I could get an opinion from a radiation oncologist too just to make sure I had heard from all the experts before making a decision. He said I would be just as good a candidate for radiation (preferring brachtherapy). Then I got good news/bad news on the second opinion on the biopsy slides.
Their pathologist downgraded the Gleason score from 7 to 6. The bad news was they said perineural invasion was present. Walsh says not to worry about it but I've seen a couple of studies that indicate it may be a predictor for recurrence. I was leaning towards the surgery and not sure if this has any implications for which treatment option to pursue first or urgency. I guess I'll have to go back and ask.
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