Hello all.
I have an appointment to see an Oncologist on the 27/01/26. To then decide on surgery or HT/RT. I am going for the latter. The amount of tissue that will have to be removed with surgery, In the words of the consultant I saw. Will leave me incontinent & suffer ED for the rest of my life. Prostate, Seminal Vesicles, Nerves & Lymph Nodes. He half said it would be better having HT/RT. In his words if I opt for surgery I will still have to go through RT, & perhaps HT. I am 58 years old. I think the surgery option is too much to ask of my body. Soon I'll be upping my gym time to 3 sessions per week. Mostly resistance training to put on as much mass as possible. I just do not want to be incontinent for the rest of my life. I have not yet shed any tears over this very recent diagnosis, Dec18/2025, although I expect I will at some point.
Thanks
Hello Hutch
I can't really comment on your choice of treatment as you don't have any diagnosis details on your profile. (To add there on your home page click on the chair - top right, then profile and then edit. Once you have written something don't forget to save it).
I can fully understand your treatment choice - and you do need to be aware of the side effects of HT/RT (fatigue and ED being the main ones). I went down the HT/RT route and you can read my journey bu clicking on my name or avatar.
I wish you well moving forward. Happy to answer any questions you may have.
Best wishes - Brian.

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It’s a lot to take in. I was given my diagnosis on 22 December. It did feel like I was there to decide on surgery or RT there and then. It felt too big a decision to be made on the spot.
If you feel like sharing your diagnosis it will help people to share like experiences more inline with yours. Maybe you can take a bit more time to decide. Either option has benefits and downsides.
I opted to defer my decision in the post MDT appointment, then week. I asked if I arrived back in one year would my outcome, if I chose RT, be significantly worse. Not significantly was the likely result so I am on active surveillance with the first retest on 24th February. I don’t fancy surgery either.
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