Mar 14, 2013 - 1:14 am
Short story: I am 54, and I was diagnosed with PCa about a year ago with 3+3 score (3% in 1 of 12 cores), PSA 13.9. gland size 155-160 cc (this was my first time finding out the size of my prostate, so I don't know if it was ever much smaller). I have since underwent a few MRIs, CT scans, bone scan (negative), more PSA tests (Dec 2012 was 20.3), latest PSA results (from last week) not yet returned. My last MRI a few months ago indicated the prostate to be 185-190 cc (that is not a misprint!). I feel no urinary discomfort. My last biopsy a month ago showed negative, but my doctor assured me they are darting around the cancer cells. My father also had PCa, but passed from lung cancer.
I am scared-to-death of surgery for many reasons (long recovery, catheter(!), incontenence and impotence). I had wanted to go the radiation route but my radial oncologist tells me that hormone therapy will only shrink my prostate by 30% (to about 130 cc), a far cry from the 40-60 cc ideal for radiation. My doctor told me I can "try" but after 6-8 months of hormones and side affects, it could mark me as ineligible for radiation (I suppose I don't have that option at all regardless). My doctor is recommending surgery.
Any thoughts on this?