diagnosis and treatment in Spain

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Hello, 

I have recently been diagnosed Gleason 3+3, with a PSA of 14.2.  I am being treated in Spain as a resident so it does make it slightly different as I assume they have slightly different medical protocols .   I am waiting for a PET-TAC scan but the urologist is already talking about surgical removal and/ or radiation.

I would rather take a couple of months to consider the options and research potential side affects .

Has anyone been diagnosed and treated in Spain?   Any general advice regarding treatment options would be welcome before I go back for the results of the .

Again Thanks in advance 

gary

  • Hello  and welcome. Yes there have been posters from Spain but not that many. My husband and I live in Greece and we have found that our options have been similar to those in the UK and you should have similar choices although if you are anything like us you have to be more proactive in finding the experts.

    With a Gleason of 3+3 you have time to go through all your options and I would suggest you seek the opinion of an oncologist. I have linked in a recent thread which might give you more information.

     Active surveillance 

    Please come back if you have any questions.

  • Hello Gary ( 

    We do have this group you may wish to join:

    Living with cancer outside the UK forum 

    It's not for specific cancers but it may help.

    Other than that we do have some Community Members living in Spain and I am sure they will be along to help.

    Best wishes - Brian.

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  • Sorry to have seen this so late. I’m resident in Spain and was diagnosed with prostate cancer 3+3 in 2019, i went into active surveillance but my PSA kept going up as high as 29 although all my biopsias were 3+3, MRI scans showed little growth and PET-CAT confirmed there was no spread. However, at beginning of this year the AS urologist said my PSA was high risk and I needed to have active treatment. I get the impression that urologists and indeed most doctors here are very conservative in their approach and are quick to recommend surgery. They obviously think your PSA is too high. In the end I got second and third opinions and they all said I should have the op so i did. However, where I live - Albacete -robotic surgery is not available so I paid to have it done in Valencia on July 10. The surgeon was brilliant, all nerves spared. My erections returned even before the catheter was removed and I have minimal leakage - use a shield not pads. I think the region in which you live has an impact but perhaps you have private insurance. Pleae feel free to contact me should you need any support or info. Good luck

  • Hi Peter, 

    The pet scan shows it was more aggressive than first thought. I have opted for radiotherapy rather than surgery. 

    I had arranged time in the uk which could not be avoided so I am on tablets until I start treatment  .In this area they do not have the necessary machine so I was referred to a private hospital which has an excellent reputation so I am happy with that..

    All the best 

    Gary 

  • I did 14 years ago exactly what Peter did with the same results. My cancer was an advanced one as corroborated by the surgeon.  It was a robotic operation. I was back home the following day.  7 days after they removed a catheter and after that back to my normal routine with minimal precautions.  When dealing with cancer if you can remove the organ affected there is no better solution.