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Posted on 12/2/21 at 4:57 pm to Gorilla Ball
Pretty sure Ochsner in offering HIFU now.
Posted on 12/2/21 at 5:01 pm to jeffsdad
You only wait if you are already old because something else might kill you first.
Posted on 12/2/21 at 5:02 pm to Boudreaux35
quote:
When was the last PSA done? Steady PSA is good. I know they typically say under 4, but they also say that as long as it's steady.
Off topic I know but one can have a PSA over 5 and be fine. That's me. But I have had three prostate biopsies. All negative. Take meds to reduce the number and it worked.
Posted on 12/2/21 at 5:16 pm to Gorilla Ball
For the love of god do not do HIFU
Anyone who recommends that upfront is a snake oil salesman and cannot be trusted. Run far away
Anyone who recommends that upfront is a snake oil salesman and cannot be trusted. Run far away
This post was edited on 12/2/21 at 5:19 pm
Posted on 12/2/21 at 5:19 pm to jeffsdad
As others have asked:
How old is the patient?
Is the PSA increasing or steady?
How old is the patient?
Is the PSA increasing or steady?
Posted on 12/2/21 at 5:27 pm to jeffsdad
Active surveillance should be the plan with a Gleason score of 6 (lowest score possible).
Family history and such should be taken into consideration.
There’s a YouTube channel called Prostate Cancer Research Institute that I highly recommend.
You’ll be okay.
Family history and such should be taken into consideration.
There’s a YouTube channel called Prostate Cancer Research Institute that I highly recommend.
You’ll be okay.
Posted on 12/2/21 at 5:30 pm to jeffsdad
quote:
Psa steady at 5, 4 spots, gleason score 6. Otherwise healthy. Friend. Surgery or wait?
age is important here. Were the spots close to the margins?
you fall within active surveillance but I would only do that if I was over 70, clean family history, and don't mind going through biopsies. Also, have you had a scan yet?
This post was edited on 12/2/21 at 5:32 pm
Posted on 12/2/21 at 5:30 pm to theCrusher
quote:
whatever the doctor tells you.
Because in many cases the common treatments have similar likely outcomes, but different potential side effects Drs. let the patient decide what treatment they want.
Posted on 12/2/21 at 5:36 pm to jeffsdad
quote:
Internal radiation?
Radioactive pellets are inserted into the prostate gland itself to kill the cancer cells, as opposed to external beam radiation where you lay under a large machine and the prostate is irradiated.
Posted on 12/2/21 at 5:37 pm to Chad504boy
quote:Many men who have known that they have prostate cancer die of something totally unrelated that was more aggressive or was incidental (heart attack, accident, etc.).
how the hell does waiting help?
To your question waiting does not HELP but if there are little or no symptoms and one’s case is not rapidly progressing, the suggested therapy is often to wait and watch.
The cure is considered worse than the disease in that instance.
Posted on 12/2/21 at 5:51 pm to jeffsdad
My dad had HIFU. High intensity focused ultrasound. Obliterated his tumor. That said, he is a retired physician and wishes he had done radiation. Basically HIFU is one procedure and done, with very little side effects, and that is why he did it originally. But radiation is more proven. Good luck to you.
Posted on 12/2/21 at 5:57 pm to Keltic Tiger
quote:
That and I wanted nothing to do with that catheter insertion for several weeks
Several weeks? Seven days for me.
Posted on 12/2/21 at 6:01 pm to Gorilla Ball
quote:
My psa was recently at 6.9, in august it was 5.3. The Dr was concerned about the fluctuations in the psa level. But I do have a spot about 1.2cm that is cancer.
I have a teleahealth visit with Mayo Clinic next Thursday and MD Anderson the following Monday.
My local urologist is suggesting removing the prostate.
One year ago today my PSA was at 8.0. Told my doctor and he said take it easy riding your bicycle and we will test again 3 months. IN 3 months it came back at 9. I had a biopsy done and 1 out of 12 cores came back positive 3+4. I have a family history of it. My grandfather died from it, my dad just went through it so this was expected. Just didn't think it was going to be before I was 50 though.
After discussing it with urologist and oncologist, due to my age the only option was surgery. Had it removed exactly 3 months ago today. I went for bloodwork today to check my PSA level.
Surgery went about as good as it possibly could. Pathology report was that the margins were clear and it was encapsulated. I recovered quickly and was actually back running as normal after 4 weeks. I do a lot of exercising before and I think that made my recovery great along with a great doctor. I didn't experience any incontinence or any of the other factors men tend to be concerned about.
I feel very fortunate and it's brought a new perspective about life. My buddy hasnt been so lucky. His had spread to lymph nodes and beyond. He had surgery, radiation, and hormone treatment and still dealing with it 8 years later.
This post was edited on 12/2/21 at 6:04 pm
Posted on 12/2/21 at 6:57 pm to jeffsdad
Mine was similar five years ago, age 75. Had a biopsy, cancer.
He gave me the options on treatment. I selected "Brachytherapy". They insert radioactive seeds into the Prostate.
The advantage is, after the seeds are in place, you return to normal activity in about a week. It also doesn't leave you with a leaky valve. Since I was a healthy 75, I didn't want to deal with diapers for several years.
My PSA now is less than .o1.
He gave me the options on treatment. I selected "Brachytherapy". They insert radioactive seeds into the Prostate.
The advantage is, after the seeds are in place, you return to normal activity in about a week. It also doesn't leave you with a leaky valve. Since I was a healthy 75, I didn't want to deal with diapers for several years.
My PSA now is less than .o1.
Posted on 12/2/21 at 6:58 pm to jeffsdad
"He is 68 and steady psa"
---
You mentiponed otherwise healthy. A case could be made for removal.
I had mine removed twenty years ago at Johns Hopkins (non-robot). I was around 50. The cancer was still confined to the prostate. I am able to have sex, never had any leakage, and am cancer free.
I have a brother who is older and obese. He had seed implants and radiation several years back. PSA is still low.
And my younger brother just had his removed two months ago in Lafayette. He seems to be doing fine. This was a robot procedure.
Once a prostate is radiated, removal is not an option.
---
You mentiponed otherwise healthy. A case could be made for removal.
I had mine removed twenty years ago at Johns Hopkins (non-robot). I was around 50. The cancer was still confined to the prostate. I am able to have sex, never had any leakage, and am cancer free.
I have a brother who is older and obese. He had seed implants and radiation several years back. PSA is still low.
And my younger brother just had his removed two months ago in Lafayette. He seems to be doing fine. This was a robot procedure.
Once a prostate is radiated, removal is not an option.
Posted on 12/2/21 at 6:59 pm to jeffsdad
That’s (68) not very young for that score. FIL had same gleason and higher PSA. Lafayette urologist wanted to do SX. MDA said some radiation and surveillance. All has been perfect since.
Posted on 12/2/21 at 7:06 pm to ItzMe1972
[quote]Once a prostate is radiated, removal is not an option.
Wait, what? Why?
Wait, what? Why?
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