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Prostate Cancer

18 months post RP
Just got PSA < .1 So far, so good.
My case high PSA post prostatectomy
Hi I’m 48 years old. Diagnosed with prostate cancer in Oct 2024. Had surgery in Dec 2024. PSA score pre surgery (radical prostatectomy) was 19. Had lymph node involvement. Gleason 3+4. 10 out of 21 nodes that were removed were positive for cancer. Odd thing was the cancer seemed to be near the wall of the prostate and so…
What's Joe Tippen protocol
I'm 54 living in Omaha NE, in good health. My routine blood test brought out a PSA 7.3. Ending up to be a prostate cancer Gleason 7. I'm yet to decide what to do. My urologist is suggesting a surgical removal of prostate. I'm just doing my homework. Anyone can instruct me about "joe tippen protocol "? Thanks
radical prostatectomy after HOLEP - Is it possible?
I had a partial HOLEP after I was not able to urinate, and they found cancer - Gleason 3+4. An MRI showed that there was still cancer in my prostate. Everyone wants me to have radiation, but I would rather have another HOLEP operation and remove the rest of my prostate. My radiologist says that no surgeon would do this do…
HIFU in Phoenix area
I had a partial HOLEP after I was not able to urinate, and they found cancer - Gleason 3+4. An MRI showed that there was PI-RADS category 4 suspicious mass, right posterior lateral basilar peripheral zone. I will get a biopsy in March. Everyone wants me to have radiation, but I would rather have HIFU. I would like to hear…
Gleason score of 7
In 3 of 12 biopsies Dr wants to remove prostate ? Should I ? Or better options ?
newly diagnosed prostate cancer
I am 71 yo male in fairly good physical shape. Had an MRI done after an elevated PSA of 11.3 on early January 2025. The diagnosis as per UCLA was a Locally Advanced Prostate Cancer. I am scheduled for a biopsy on February 11th. I have visited with several different urologists to learn about my options. I am also looking…
My Latest MRI and Back Story
Figured I'd share the journey… Just had my first MRI while on Active Surveillance. My history is had rising PSA in Fall 2021 (from 4 in 2020 to over 5 in 2021), had an MRI then which identified a PIRADS 4 lesion, had a biopsy with 12 samples on a grid and 3 in the lesion. The 12 on a grid were normal, the lesion samples…
Looking for Kaiser MDs, Bay Area if possible
Hi, My husband, Jim has 4+3 Gleason score, PSA 10.4 (11/2024), PSMA PET is negative for spread, MRI showing the tumor is on the left side and "extracapsular". The treatment options presented to Jim are surgery or ADT/brachytherapy/external beam radiation. I've seen posts here from 2010 and 2014 naming some surgeons at…
Working out
I'm coming up on two months after my Prostatectomy and I see my Urologist on Jan 10th, 2025. My questions for you guys. 1. Have any of you been riding your bicycles any issues? 2. Do Any of you ride dirt bikes with any issues? I've only been walking and NO GYM at all! Note: I'm 66
67 years old Gleason score (3+4) next
Signs of Life
Nearly 16 weeks since RARP and last night out of nowhere there was “a sign of life” as far as the ED is concerned. How or why I don’t know but suddenly had the closest thing to an erection since before surgery and there was pretty good sensation with it. Taking this as a good sign. Incontinence is greatly improving and…
Proton vs IMRT
I know many of you have seen the results of the Partiqol study comparing IMRT to Proton. Generally the take away is that the treatments are equivalent. I agree with that assessment . I was reviewing some of the details in that study and the thing that really struck me was how good both treatments were. I personally think…
Radiation Proctitis Argon Plasma Coagulation treatment
I had radiotion treatments that ended in may of 2017, Started seeing blood clots in my stool. Turned out to be Radiation Proctitis..During Sigmoid oscopy they were able to see the bleading and there was a lot of damage and the Dr he basically lasered the whole area. I saw the photos... Has any one had any side effect from…
Urinary Retention from Radiation Therapy
I'll be heading for 5 weeks of Radiation Therapy soon. Having had a bout of acute urinary retention (not being able to pee at all) after my IRE ablation procedure, I'm paranoid that it may happen again with the RT treatment. My doctor thinks it unlikely. He claims the radiation is much less likely to cause the kind of…
First Transrectal Biopsy
I'm scheduled for my first prostate transrectal biopsy on Monday morning. I made the appointment months ago, but it’s been on my mind ever since. As an older man, I feel pretty anxious about everything, from the prep to the procedure and the results. Any tips for easing my nerves?
What do you wish you'd asked? + ED after more than 3 years
Hi all, I'm 56. Was diagnosed last year Gleason 3+3 and chose active surveillance. That has progressed this year to Gleason 3+4 in 2 cores with some cribriform patterning. Decipher is 46 with intermediate risk. I have to choose a treatment and hate all options. I find that doctors don't give you the whole picture and I am…
Pathology Report Question
Good afternoon, My father had robotic surgery to remove the prostate following a PIRAD 5 Prostate MRI (No lymph involvement) and a postitive biopsy showing Gleason 3+3 and Gleason 3+4. Surgery on 9/23/24, deceived the unfortunate news last week that there were positive margins. Conversation with the surgeon was a 2 minute…
finished radiation
i had prostate surgery in may of last year and then radiation and finished that in novermber just had a psa score taken and it came back at 0.25 do i need any further treatment
Catheter and Cystoscope
I need some advice. After spending a week with a catheter due to blood clots in my urine, it was removed and followed with a cystoscopy. Before the catheter was placed (after three attempts), I was able to urinate. However, now I’m having difficulty urinating—I feel a frequent urge but can only produce a trickle. I also…
Proton Therapy Study Results for Localized Cancer
Since I plan to pursue radiotherapy if & when I have to step off of the AS track, I keep up with the research on efficacy of different methods. Here's the results of a recent randomized study comparing Proton Beam Therapy (PBT) and Intensity Modulated Ration Therapy (IMRT) which uses photons, for localized cancer.…
Husband diagnosed as intermediary unfavorable
We are looking at treatment options and leaning toward surgery. He is just now 65 and fairly active and healthy. We are in Texas and have access to MD Anderson, which is great and Medicare…. Just. We have read/heard alot about ivermectin. Has anyone done any natural treatments or do you have advice. I want to move forward…
Latest Check-up Results
I had my 3 month checkup today, and the good news is that my PSA is still undetectable, but my Testosterone has only risen to 26. But, by far, the most important test result is that my PSA is still undetectable. Life is good. My Related History and Data: Post-Robotic Prostate Removal Surgery Pathology Report A. Lymph…
Post AMS 800 recovery pain
I had the AMS 800 implanted on January 14 and it is now January 31. My perineum incision healed well but my incision across my lower stomach, though it looks good on the surface, gives me shooting pains if I do anything other than lay on my back all day long. Is this to be expected? My surgeon said I should walk but that…
Latest on IRE Nanoknife Focal experience
Thought I'd start a new post and update my Pca journey. Condensed history: First diagnosed November 2023 with 4+3=7 tumor within gland. Confirmed by 2 biopsies, bone scan, and PSMA PET scan. No metastasis. After local urologist suggested surgery or radiation I got a second opinion from Fox Chase Cancer Center in…
A newer phase in my Systemic treatment now with metastasis in bone
To all in this forum and particularly the old members that have help me along the years in understanding facts on PCa issues based to their experiences, or suggestions to my case. It has been 18 months since I dropped a post in the forum (July 2022). I felt that I have failed those that were used in receiving my prompt…
Treatment Options
New member: 73, living in Texas, diagnosed Thanksgiving week 2024 after significant PSA increases (2>4, 4>6) in the past two years. Biopsy showed two lesions in the prostate, Gleason 7 (3+4 and 4+3). PET scan followed, revealing three spots in the prostate and activity in right and left iliac lymph nodes. Diagnosis…
Relugolix (Orgovyx) before Abiraterone (Zytiga)?
After a PSA doubling in three months and then an early January PSMA PET scan which first indicated metastatic Pca, my Fox Chase Surgeon immediately prescribed Bicalutimide (Casodex) and arranged a fairly quick mid January appointment with a medical oncologist. She took me off the Bicalutimide and prescribed Relugolix…
What if radiotherapy fails
Just about everything I've been reading indicates modern radiation treatments properly administered are statistically superior to Radical Prostatectomys concerning quality of life issues. Sounds like they're equally effective. I've now been advised by two different radiologists that 5 weeks IMRT is a good first course of…
Pads and chaffing
Three months post op. About a month ago I switched from the full Depends briefs to the Depends Pads. I am using 2-3 pads a day which aren’t completely saturated when I change them. However, in the last couple days I’ve noticed the pads seem to be chaffing both sides of my straddle/groin. Anyone else had this problem and…

Prostate Cancer

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