Mental health

Hi Stephen

I think this is normal especially in the early days after diagnosis.

You don't give any stats which would be helpful.

That's a new one on me, treating one side and leaving the other on AS 

Is it a NHS treatment or have u gone private

Regards

Steve 

Hi Steve 

My gleeson score on the right side is 3+4 and 3+3 on the left.

Cancer is localised and my treatment is on the NHS.

Many thanks

Stephen 

So sounds easily treatable, just not heard of doing 50/50 before, would it not be better to treat the whole gland or do AS on the whole gland.

Do u know the size in mm of the two tumours

1. Steve 

Left side is a scatter of cancer areas about 2mm each hence no treatment.  The right side is 6mm.

I could have whole gland treatment but only 50 and I don't want the side effects.

Stephen 

So not too big, as long as not near the capsule edge I would consider AS for whole gland. Otherwise you'll be looking at potentially 2 treatments.

Thouught that HI fu was considered for less in term of side effects.

Have u been offered external beam to cover the whole gland.

The latest type is  very focused and minimal side effects.

I had this 5 years ago, no side effects now.

I would do more research and scrutinize everything, time is on your side, 

I presume your PSA is not too high 

Steve 

PSA is only 3 however,  been advised I need treatment on right.

AS been offered in very short term however,  can have either bracky, whole beam radiotherapy or prostatectomy. 

I want treatment anyway and HIFU is likely to extend the time before I need whole gland treatment.

Stephen 

Ok , am not an expert on hi Fu but see what u can find out about success rates for hi Fu.

External beam and surgery roughly the same success. 

All I would say , if it was me , wouldn't want ,in effect, treatment done twice, just my opinion, see what others say 

Steve 

I understand what you are saying. 

Quality of life is important and HIFU is my preference.  Ideally whole gland but my circumstances mean only 50/50.

It is frustrating but I know every individual is different and things don't always work out the way we want.

I would be interested to hear the opinions of others.

Stephen

Best wishes anyway, keep in touch/posting 

Hi Steve

Couldn't agree more I wouldn't want to have to go through this again.

Regards

Stuart