Aug 05, 2006 - 12:09 pm
First, I would like to thank everyone who contributes to this site. As a newly diagnosed prostate cancer member the discussions on this site have been very helpful.
I received the news of my cancer on July 24 and have been researching info on prostate cancer for the last two weeks. I feel like I'm on information overload and I'm running out of time re selecting the appropriate treatment and surgeon.
My clinical staging info is as follows: PSA 5.5; 7 out of 12 cores were cancerous (2/3 were in the right mid section (30%) and 3/3 in the right apex section (70%) section); Gleason score 7 (3+4);perineural invasion; MRI's and bone scan show no signs of cancer. I'm 53 years old and in good shape. No prior experience with cancer and no family history of prostate cancer.
The surgeon I'm working with says I'm a candidate for radical surgery and he only performs the perineal procedure which he maintains is better than the retropubic procedure because there is less blood and it provides better results re urinary incontinence (easier to see all the moving parts necessary to be reconnected). I asked him why the retropubic is performed more than perineal and he said it was because the perineal is more difficult to learn than the retropubic and therefore there are less doctors who opt to specialized in it.
I was also told that since a large part of my lower right apex was cancerous (70%) that it was likely that I would have to have the nerves removed on that side but I might still be able to keep the left side nerves.
If anyone has any comments/observations re the following questions I would greatly appreciate it:
(1) pro's and con's of perineal versus retropubic (probably robotic)??
(2) Any experience with Dr. Uzzo at Fox Chase Cancer Center?? I'm looking for a second opinion.
(3) What, if anything, can I take from the fact that I have perineural invasion re trying to predict whether or not the cancer has spread beyond the prostate capsule??
(4)Does anyone have experience with sural nerve grafing?? Any advice??
(5) Is there anything else (I'm saying my prayers) that I should be considering or following up on??
Thank you all so very much.