Still not sure

Hi CFc and welcome.

I always feel that once escaped the gland then HT and Radiotherapy best option but of course that is just my opinion.

I never fancied having a major op and radiotherapy is relatively easy.

Hopefully you can start on HT soon to stop it in its tracks.

You don't mention a Gleeson score?

But also see what others say

Best wishes 

Steve 

Hormone tablets/ injections are great for certain conditions and the side effects are minimal and doable.

You're obviously scared of surgery but that will depend on your flow.

we need more info to help and support you.

take care

Hello Cfc 

I did list the options open to you here:

 Hi iam new to this and quite scare 

The normal route is for you to meet both a surgeon and an oncologist to discuss your treatment options.  I have an enlarged prostate and also a T3aN0M0 (click on my name or avatar to see my journey) diagnosed over 4 years ago and not dead yet - in fact enjoying life more now - on holiday in Wales as I type this! .

Wait for all your results to come in and then have your meeting with your team and discuss what YOU want to do - it's your choice, you don't have to have surgery.

Best wishes - Brian.

My psa went from 6.28 from GP blood test arrange hospital blood test etc and test within a month gone up 7.9 so had biospy,  and then mri scan just ct scan this week I said mri but that was last month ct this week , my pi rads was between 3 and pi-rads 4 

Update on myself after receiving message from  fom letter that as been passed on to my docs explaining that mri scan show a new piRADS 4 lesion on the right side of his prostate,which led to another biopsy, these have shown gleason 4+ 3 Cancer particularly  from abnormalarea seen on scan,the longest core being 12mm and there is evidence of capsular breach, and we will send him for ct scan just had that last week, and bone scan this week.we also put him on tamsulosin  to see if it's improves flow etc ,and visits to the toilet which ,I been taking for a week and last two night I've only got up once so that part as work if it as not they will operate on me by removing the core, well thankfully it as so , may be now just hormones injections and radio therapy , only time now will tell

By the core I think they mean TURP operation if my flow does not improve

Hello Cfc 

The TURP operation doesn't remove "the core" - they "shave" the bottom of the prostate where it's grown into the urethra to improve your "flow". I should know, iv'e had one.

N H S - TURP Operation.

I hope this helps, happy to answer any questions.

Best wishes - Brian

Thank you

Cfc said:

I really don't want to die just yet

You won’t.  Your prognosis so far should be “curable pathway” from what I can see. Certainly HT & RT (possibly with brachytherapy to ensure that gland is fully blasted).  Ask your consultant. You sound like RT is your preferred option anyway (and should be, considering the apparent breach of the capsule).  The idea of surgery to remove the gland followed by RT would have a large effect on side effects and you’re still young to endure that for the rest of your life.  AW

Well bone scan done today ct last week now the waiting game, bone scan was ok today surprised it was not longer than 20 mins, I guess now it be another blood test and urine flow test to check my flow etc , I'm sure the tamsulosin  have made a big different certainly less weeing in the night and diffently  day time to even my notice the difference in that, she use to always  say do  you want a pee now lol, well u have to laugh and we do, I told her today I'm 64 now and we better than I was 10 years ago,