Aug 19, 2005 - 10:22 pm
My name is Joel and I am 60 years old. My story is similar to yours other than it is mine. I was diagnosed April 2004 and I am considered to be in a good position. Only 2 of the 12 biopsy pricks were positive and it was confined to the right side of the gland. With DRE,you do feel a little bump on that right side. My PSA from 9-2003 to 04 2005 hasd gone from 4.5 to 5.1 and neve exceeded 5.4. There were 7 PSA tests. My Gleason is 3+3= 6 The gland is medium in size. I was shocked at first and spent a number of months researching until I needed a break. I am back on the Watchful and Waiting scene with a desire to treat the cancer, but I can't make any decisions. RP is a radical procedure and you all know of the negatives, including the numerous replies I have read in this room about the catheter and imopotence. Impotence, in any treatment is unavoidable 100%. That I know. I know with this surgery it is out and we can take it to Path to see if it spread, but the thought of impotence, potential dry orgasms with no ejaculate, bother the hell out of me. (Can you describe your feelings on impiotnece and your after treatment life?) I recently heard of the Divinci procedure which certainly has a lot of positive things other than it does not have a long history, only since 1999. Has anyone here had that treatment and what do they think? Seeds is my other options and as Ron, I am considered a good candidate. There is a 15 year study which is good and I have discussed seeds with iodine and palladium. Recently, I also heard of extra strenght seeds that are put in, taken out, and put in three times. The result is not to leave those seeds in. There are of course good and negatives to this. The biggest being that the gland stays in your body. The PSA can go up and down and you will not always know whether you are ok, even though you may be told that fact. WOW. Please give me some stories of why you chose either one. Pleae let it be a mix of both. I want to made an educated conusmer and make a decision I will be comfortable with. I know my decision has to right for me and there are no cut and dry answers. I am in the Los Angeles area. Can you share with me your best doctors and place of treatment. I am limited because of my HMO. So in all, I would appreciate the help. And by the way, good luck to all. I am lucky to have found that "Reluctant Chat Line" By the way if there any girlfriends or wives that tell me what they feel about this please do.