I know this is probably the most asked question, but it is so difficult, probably the biggest decision you need to make. I was diagnosed with prostate cancer (Gleason 3+4, grade group 2) T2c/NO (localised) CPG2 (PSA 8.8), a few weeks ago and I am in turmoil trying to decide on the best treatment. I know it’s an individual’s choice, but it’s all that has been on my mind over Christmas and new year and the more I read the more confused I feel. I would be appreciative if you do have any experience or guidance apart from internet links, I think I’ve been to most?
I have had frequency/urgency to pee and up to 5/6 times/night most of my life (20’s), and had numerous investigations over the years, second biopsy in 3 years and first cancer diagnosis. I have also been on tamsulosin for quite a while, although not prescribed for my prostate, but to help me pee more, and lesser at night. I am 65 years old, thought I was healthy and hoped to get into my 80’s, also a sex life is still important to us, but you read so many stories, where that just ends following treatment?
Another thing I would like some advice on, is the meeting with the urologist, following diagnosis, is this pressured into making a decision there and then on the day, it probably isn’t but I feel under pressure not to waste anybody’s precious time or fall out of the system.
During the meeting to be told I have cancer, I was informed that an active treatment, should be my only route, not monitoring, and seemed like surgery was the most recommended route. I asked if there were any other routes (HIFU/cryotherapy/NanoKnife/proton (unaffordable)), but was told they are ineffective, only surgery would totally clear the cancer, no disrespect to the devoted professionals, but that’s how I interpreted it anyway.
It is so overwhelming, if anybody has the time, any guidance would be appreciated.
