Feb 27, 2012 - 12:51 pm
I am 74 in good health. Diagnosed Dec.2011. PSA 4.4 up from 2.6 in 2008. Prostate measured a volume of 47.6 mL Biopsy labeled as "right apex" core. Adenocarcinoma. Gleason 3+3=6 involving 1 0f 2 cores approximately 5%. I chose "watchful waiting" with exam and PSA test every 3 month as a tentative first option. I was on testosterone cypionate 3/4 ML once a week for 1 and 1/2 years.
I thought about Proton radiation therapy, but was concerned about the after effects, perhaps in a year or two, in that strictures can occur on the seminal vessels and urethra requiring surgery. It appears this is becoming more and more evident now that they are finding long term effects of radiation therapy? Can anyone help me on this?
Also my local urologist took me off testosterone (3/4 ML once a week), after my 2nd opinion urologist said it was OK to continue. Research seems to indicate that low testosterone can actually increase your risk. Is this true? Without testosterone therapy I feel more fatigued, lack sexual desire, and need more sleep. I'm very confused and becoming anxious regarding my therapy option and the termination of testosterone cypionate. Thanks for your suggestions.