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re: Radiation or surgery for prostate cancer ?

Posted on 1/24/20 at 4:48 pm to
Posted by CarrolltonTiger
New Orleans
Member since Aug 2005
50291 posts
Posted on 1/24/20 at 4:48 pm to
quote:

Surgery. Then just watch. Prostate cancer usually doesn't move that fast.


That is assbjckwards. It is just watch, prostate cancer usually doesn't move that fact then surgery or radiation if it does.
Posted by ArHog
Gulf Coast
Member since Jan 2008
40258 posts
Posted on 1/24/20 at 4:49 pm to
Will do, getting older isn't what it's cracked up to be


Posted by warlock1974
Prairieville
Member since Jan 2015
1842 posts
Posted on 1/24/20 at 4:53 pm to
I had surgery. Talked to a friend who is a physician, but not my Urologist and he told me to Cut the MF out and throw it the F away.

That was 10 years ago and no return if the cancer.
Posted by LSUgrad83
Denham Springs
Member since Sep 2004
691 posts
Posted on 1/24/20 at 4:58 pm to
There are so many variables that need to be addressed before making this decision. What is the age and functional status of the patient? What is the Gleason score? Has the patient had a special MRI (multiparametric)to see if the cancer has spread outside the prostate gland? As a couple of people have stated, sometimes you can have a prostatectomy and still end up needing radiation treatment.

Good luck on your journey for you or whoever you are inquiring for!
Posted by MSTiger33
Member since Oct 2007
21755 posts
Posted on 1/24/20 at 4:59 pm to
Surgery. FIL did the seeds and it screwed him up really bad.
Posted by Pussykat
South Louisiana
Member since Oct 2016
3889 posts
Posted on 1/24/20 at 5:01 pm to
quote:

For those that have traveled this road,


Where is the best place to have treatment in Baton Rouge?
This post was edited on 1/24/20 at 5:02 pm
Posted by biglego
San Francisco
Member since Nov 2007
85553 posts
Posted on 1/24/20 at 5:03 pm to
I would take my arse to MD Andersen and do whatever the doctors recommend.
Posted by EKG
Houston, TX
Member since Jun 2010
45273 posts
Posted on 1/24/20 at 5:04 pm to
In some cases it’s not an either/or deal.
If cancer cells remain after surgery, radiation may be suggested to kill those bastards.
Posted by White Roach
Member since Apr 2009
9666 posts
Posted on 1/24/20 at 5:05 pm to
I'm currently traveling that road ...

There's not usually a "correct" answer. Surgery, preferably robotic surgery, is a common choice, depending on your cancer stage and personal risk factors. My doctor (my 2nd urologist) felt I had a high risk of incontinence (and I have a history of A-Fib problems), so I wimped out on surgery. Not interested in wearing diapers for the rest of my life.

I had Brachytherapy in mid-Dec. They implanted about 6 dozen radioactive seeds (or pellets). Out patient surgery, unless something goes wrong. Minimal soreness at the site, no post op bleeding, no urination problems. No side effects aside from fatigue.

I'm following the Brachytherapy with external beam radiation. 25 treatments over 5 weeks. M-F, weekends off. I started on Jan 15th, so I've only had 8 treatments so far. As of yet, no problems. But any side effects typically don't surface for a couple of weeks. I'm keeping my fingers crossed. Fatigue is an issue, but can be managed and is temporary.

Prostate cancer is the Boy Scout of cancers. It can kill you, especially if undiagnosed, but is typically a slower growing cancer and can be treated easily and effectively. Good luck.
Posted by hawkster
Member since Aug 2010
6306 posts
Posted on 1/24/20 at 5:14 pm to
If you want another expert opinion, New Orleans has one of the foremost prostate cancer specialists in the world. Dr. Oliver Sartor at the Tulane Cancer Center.
Posted by Capital Cajun
Over Yonder
Member since Aug 2007
5633 posts
Posted on 1/24/20 at 5:25 pm to
A gent I know did both. He’s in his 70’s going strong 1.5 years later.

He’s a master electrician and works on a construction site daily.
Posted by AtlantaLSUfan
Baton Rouge
Member since Mar 2009
27555 posts
Posted on 1/24/20 at 5:25 pm to
quote:

prostate cancer

Is a racket.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27875 posts
Posted on 1/24/20 at 5:29 pm to
Prostate is like an appendix after a certain age.

At some point in your life it will betray you. Either with prostate cancer or enlarged to the point you can’t piss. If you are a man and on the earth long enough you’re prostate will frick you. Take it out.
Posted by ArHog
Gulf Coast
Member since Jan 2008
40258 posts
Posted on 1/24/20 at 5:29 pm to
quote:

White Roach




Good luck
Posted by GolfingTiger
Gonzales
Member since Oct 2004
292 posts
Posted on 1/24/20 at 5:31 pm to
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
76175 posts
Posted on 1/24/20 at 5:36 pm to
quote:

My mom went to doctors in Jackson and bham when she was diagnosed with cancer a few years back. The dr’s there told her to have surgery now and then do radiation treatment.
Hope her prostate cancer responded well to this therapy.

Seriously, hope for a good outcome for her but the OP is asking for specific information on prostate cancer.

I personally NEVER derail or depart from a thread.
Posted by Big Bill
Down da Bayou
Member since Sep 2015
1692 posts
Posted on 1/24/20 at 5:39 pm to
My dad did radiation 2 years ago. He was 80 at the time and came thru it easily. If you go that route, make sure to drink at least 16 ounces of water 30 minutes prior to the session.
Posted by ItzMe1972
Member since Dec 2013
12893 posts
Posted on 1/24/20 at 5:40 pm to
I second John Hopkins.

This was my surgeon 15 years ago:

LINK
Posted by White Roach
Member since Apr 2009
9666 posts
Posted on 1/24/20 at 5:51 pm to
I'm okay. There were a couple of hairy moments when it was being staged, but it's all good now. I've joked with some friends who were concerned about my long term prognosis. I tell them that this cancer is very unlikely to kill me, but it's going to aggravate the shite out of me.

This has been going on since early May. Tests, A-Fib complications, delays, more tests, more A-Fib complications ... I was so ready to get those pellets shoved through my taint it wasn't funny. I'm not complaining because I know I'm lucky, and I mean it. But I'm ready for it to be over by this time next month.
Posted by White Roach
Member since Apr 2009
9666 posts
Posted on 1/24/20 at 5:58 pm to
I was told to drink a bottle (half liter) of water before each treatment. As I understood it, the techs want your bladder to be full before each treatment. Something to do with the imaging.

I'm a big guy, 6'-5" and about 290. A half liter doesn't come anywhere close to filling my bladder, but I do as I'm told.
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