Hi, My husband has just been diagnosed with prostate cancer 3+4 Gleason score T2N0M0 psa was 3.17 last reading. He has been on Tamsulosin for the last ten years to help relax the muscle because of an enlarged prostate. Was asked to do an mri followed by biopsy which shoes the cancer. I seem to read that a lot of people have radiation on the prostate bed after a radical prostatectomy. We are being asked to make a decision about surgery or radiation. Need any advice
Hi MPM.
Surgery doesn't always work and further treatment is needed.
Best chance for surgery to be successful are low stats which your hubbies are, smallish tumour not too near the capsule edge
Radiotherapy and HT is a good alternative to surgery with no major op and less likely to have ED issues.
Regards
Steve
Thank you for such a quick response. We have heard from the radiation oncologist and the surgeon will be calling tomorrow. We have been verbally told by the rad oncologist that it is 11cms in the posterior of the prostate. Is there any point of surgery if you then have to follow with rad and/or ht? Thank you
It has to be said that not everyone who has surgery has to have RT after.
Not sure of the figure but a guess at about 25-30%, perhaps u may want to check that.
Check online for side effects on surgery and RT to help u decide which treatment/side effects u want to avoid.
I went for RT because it seemed simpler, 5 years ago, so far still ok
Steve
Hi El
I had Radiotherapy so nerve sparing not usually a issue
Good luck with the surgery, hope all goes well.
Regards
Steve
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