Surgery or Radiation

Hi Dion D

It would be good to know your scores as in PSA, Gleason and what stage your at thank you.

Stay safe

Joe

I would say that if your diagnosis means that surgery will carry a significant risk of recurrence and salvage radiotherapy then I would go for radiotherapy as your first treatment option.

Cure rates are very similar but what you don't want is two lots of side effects from surgery followed by radiotherapy.

I am T2c Gleason 8 and I was told that I would probably need radiotherapy after surgery if chose a radical Prostatectomy. So i chose radiotherapy and hormone therapy.

Its a personal choice and you need to talk to your healthcare professionals. In my case the MDT made a strong recommendation for my treatment path.

Rob

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Hi Joe

I have a PSA of 10 and Gleason score of 4.4. It’s not spread beyond the prostrate but it’s progressive, due at Christie’s in 3 weeks to discuss options I have already seen the surgeon about surgery just awaiting my visit to the radiology team.

Regards

Dion D

Hi Rob

thank you for your feedback I have get in contact with the healthcare professional again it’s difficult because they didn’t really sway me one way or the other, basically it’s my decision which I would have preferred if they said this is the best option for you.

Thanks

Dion

I

Similar PSA to me and I had 4-3, but with some aggressive features so not far off a 4-4.

check out my bio for brachytherapy boost - you would be a good contender.  Worth discussing with the consultant at Christie’s once you have viewed my experience and the video links that I have provided in my bio.

AW

Hello Dion D  Now there's a word I like "Christie's". I didn't have a choice about surgery or RT/HT as my MRI was a bit inconclusive. I saw the oncologist at Christies Oldham and she agreed to "zap the prostate and lymph nodes to make sure the little basta*ds were killed".

I had my 20 doses of RT at Christies Oldham (a satellite of the Manchester Hospital) and the staff were amazing and I had only a couple of the normal side effects of the treatment but can't fault the staff.. The follow up and after care on their PEASS (Prostate Easy Access Support Service) is also first class and I can recommend Christies.

You can follow my journey by clicking on my icon - if you have any questions - ask away - I am more than happy to answer.

Best wishes - Brian.

Just finished my radiotherapy today; So far so good, no major problems, but told expect worse to come. Hot flushes lasted less than a minute, very little tiredness, only get up once a night so far for a pee. Worst part for me was the wind, thought I needed to open bowels but nothing much there , only mucus. No accidents, follow up meetings and psa tests to come in 6/8 weeks I believe. Need to get on a proper sunbed soon!

Magic 10Up  - It's easy, it's just hard work going to hospital every day!!  - I agree you need a break after 20 visits to the hospital. Yes, I had wind after the RT, the hardest bit for me was the fatigue - but I resisted the afternoon nap and took the dog for a walk instead.

I hope all is well for you after the RT and the HT isn't too challenging. Good luck with your follow up meetings and I wish you a low PSA reading.

Keep us posted.

Best wishes - Brian.

Well done mate: we went through this together, time-wise.  I’m like you: minimal side effects so far, but still expecting the cumulative effect of radiotherapy further down the line.  Don’t forget that the downward trend of PSA post radiotherapy to a nadir in 18 months time will surely have some side effects.  However, as healthy cells regenerate, these side effects should be short lived, whereas the cancer cells cannot regenerate- leading, hopefully, to cure.   AW