Hi all - I hope you are all looking forward to the peace and respite of Christmas. I posted a while ago when undergoing tests ( can’t find my original post ) and have now completed my blood tests, pelvis and prostate MRI, biopsy and bone scan.
I am 61, PSA 16.5, Gleason 3+3, T2, tumour fully contained and on one side of prostate. Scans revealed T2N0M0.
I met the oncologist and will see a surgeon tomorrow. The oncologist is ruling out AS ( due to high ish PSA, I have a small prostate) and is offering 20days Radiotherapy preceded by 3 months HT. she emphasised both RT/HT and surgery options are curative and my prognosis is very good. She seems to think RT is the better option but conceded as an oncologist she would think that. I suspect the surgeon will recommend radical prostatectomy.
I realise it may come down to me weighing up the side effects off each option. I am wary about RT/HT mainly due to the longer treatment duration and it’s impact on my work, the risk of weight gain (silly I know but I am very anxious and quite a rigid eater, carefully controlling weight), the bone scan revealed possible Osteoperosis and I also worry that HT will cause bone thinning.
Surgery seems a shorter, sharper option ( although I don’t take it lightly and realise there are risks of ED, incontinence )
The oncologist stressed there is no rush to treatment, but sensing I am prone to ruminating she thought I should set a date ( a week or so), weigh up the options and reach a decision. I suspect she is right . I will end up overthinking.
I know only I can decide but would greatly appreciate the views of those of you who are more knowledgable on the subject than I.
merry Christmas to you all
GG
