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Abiraterone/zytiga for hormone sensitive PCa
Two clinical trials published in the New England Journal of Medicine reported significant improvements in progression free and overall survival of men with newly diagnosed metastatic, high risk and node positive men. http://www.nejm.org/doi/full/10.1056/NEJMoa1702900 http://www.nejm.org/doi/full/10.1056/NEJMoa1704174 My…
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behavioral therapy or AdVance sling
Has anyone tried behaioral therapy or the AdVance sling for urinary incontinence. There is also sacral nerve stimulation ? Since I had the seeds put into the area of concern where the prostate use to be it seems my incontinence has gotten worst. I do kegels and take a 25 mg Myrbetriq but still go thru 4 pads a day. before…
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My father, 63, has metastatic PCa with MSCC, partial paralysis- seeking advice
Hi, my name is Sallie and I am new to the forum. My father (63 years old) was diagnosed two years ago with S4 Pca. PSA was 12, and after 8 months of radiation and hormone therapy, it has dropped below 1. The doctors advised us that the cancer wasn't gone, but it was at a managable state and we would just have to keep an…
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bowel movement following RP
Had davinci surgery Dec.15. Six week follow-up PSA was .030. Incontinence issue is resolving itself right on track, down to less than 1 pad per day. Almost everything is progressing nicely. Concern: My bowel movements are fine except every two weeks or so they are very "loose" to only clear liquid for 5 or so days. Lots of…
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Injections - Do they work - longterm
I've read a number of threads that detail the success of the injections. But what happens after the 10th injection after 4-5 months or so. Do the erections come back without them, or do you build a dependency. The last thing I want is to feel like an injections are the ONLY way. What is the long term impact, I'd like to…
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Must we forsake coffee and beer to fight incontinence?
Preparing for surgery in a couple of weeks. I drink 4 cups of coffee at a 75% decaf ratio and stop at noon. Maybe a beer or two in the evening. Have you guys who went through surgery, and had done your Kegel excercises, found that you had to give up these diuretics? Thanks, Nick
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Studies of Young Guys with Low level PCa
Hello all: My first post. My stats are below. Looking for studies re: longer expected life spans. Most all I have read are limited at 5 or 10 years. One of my issues is that I am 52 and though fairly low risk cancer, I'm reticent to just do active surveillance as it appears that even two years out, around 20% of the AS…
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is psa 84 high
Psa 84, t3 nx m0. Positive in all 12 cores. Doctor says remove.s S hould i remove at t3?
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'What The Health' documentary on Netflix
I watched this film today and it was biased but informative. Prostate cancer research/results was mentioned several times. I thought some of you might be interested in taking a look.
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My dad blamed me for him having prostate cancer.
Im so angry And in shock. In april, my dad was diagnosed with stage 1 prostate cancer. I guess cancer does run in the family because my grandpa was diagnosed with end stage prostate cancer and sadly, did not overcome that. A couple of days ago, he had surgery to remove his prostate and some lymph nodes to officially…
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Waiting to begin treatment
Hi, i am a 65 year old male who learned on Friday that I have prostate cancer. I was kind of stunned by the diagnosis and did not ask the right questions, so I apologize for not having more information to share. The Doctor said my Gleason score was 8, and he mentioned another score which I believe he said was related to…
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Firmagon and liver enzymes
It looks like about 50% of people on Firmagon have elevated liver enzymes. After 30 days on Firmagon my levels are AST = 41 (ref range 10 - 35) and ALT = 63 (RR 9 - 46). All other levels normal. I have also read that these levels are not dangerous unless they are around 100 ish. Has anybody else had any experience with…
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Requesting Opinion from Experienced People
Dear Sir, I am Mohammad Asaduzzaman from Bangladesh. I am 45 years old. I am writing about my prostate cancer condition and requesting the opinion from experienced people. I had to take urological consultation in last year, August 2016. Then my PSA (Prostate Specific Antigen) level was 7.1 ng/ml. I had been taking…
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SRT or not with intermittent but low rising PSA after RP???
Had RP in 2007. physical lump during rectal exam and biopsy with cancer. Gleason:3 + 4. PSA = 4.5 PSA was <1.0 for many years, then 1 in 2013 and 2014. Then 2 in Nov 2015. Starting seeing a radiation oncologist in spring of 2016. First PSA was 0.28. Embarked on dietary and lifestyle changes ( 5 elements based on searching…
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High PSA big gland
hello, my partner had a urine obstruction and now in catheter. He was tested for CT scan and PSA, the result was 68cc for the gland size and 38 for the PSA. We are waiting to get the urologist opinion and I am getting very scared. I love my partner and I do not think I can live without him. But I know I have to be strong…
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Website to compare performance of surgeons
A big step forward IMHO, a website that allows one to compare the performance of surgeons in the USA. And YES (!) prostate surgery is one of the specialties for which there are data: http://www.checkbook.org/surgeonratings/
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My father have just been diagnosed
Hes 59, no history in the family, but his psa has always been somewhat high and the last result at 5.0 had us worried. All the other superficial screenings were normal but his urol recommended a dre and a biopsy. He found nothing with the dre but the results from the biopsy indicated 1 out 12 core with 10% 4+3 at the…
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Need some advice
I am 53 yrs old, 5'9" and about 150lbs. Have never had any serious health issues. Here's my situation: My PSA levels started going up last year, which coincidentally was when I started riding the stationary bike on regularly basis (3-4 times a week). I have since stopped riding the stationary bike. PSA (ng/mL) Date Value…
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Melanoma after Prostate Cancer
Hello again, I have another question that I dont see in searching here. Research shows a possible connection between prostate cancer and secondary diagnosis of melanoma. It does not appear to be linked with other forms of skin cancer. Has anyone had a diagnosis of melanoma following PC? Thank you.
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medicare A out of pocket
What are rough costs for robotic removal of prostrate in Detroit area? I only have medicare A. Trying to figure costs, 7 to 10 large?
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How do I calculate prostate volume size?
I am trying to fill out the Mayo Clinic prostate cancer calculator and they are asking for: Prostate Volume (cc). I had a CT scan after my biopsy and it says: Prostate measures 5x4.7 cm. Can I just multiply those two figures to get 23.5? But yet those are centimeters and the calculator wants cubic centimeter. cc vs cm. ARE…
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PSA Still high after radiation - should I be concerned/worried....
Prior to radiation therapy PSA was 4.9. 4 weeks after radiation 4.4.. I just got test results. I haven't discussed this wirh Dr. yet.. I am concerned.. shouldn't it have gone down much lower like 1... 3+4 2 cores 50% 2 cores 3+3 10% out of 12 cores
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Suspicious of Prostate
Just looking for a few thoughts form people that know. I get up 2 & 3 times a night to pee, has been 4 a few times. Sometimes its easier to drain my bladder when I sit to pee. I can sit & trickle out 2 or 3 times in a 3 minute span after peeing initialy. I pee more frequently during the day, maybe once an hour. Never any…
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Progression without significant rise in PSA
My husband was diagnosed five years ago at age 53. He hadn't been to a doctor in 20 years and worked out everyday and appeared healthy. PSA was 12.8, prostate was left intact after they discovered lymph node invasion. 9 nodes, including local and distant were positive. He had 52 rounds of radiation and hormone therapy for…
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Anybody have Brachy with Boost?
I am meeting today with a dr who owns a brachy clinic. My urologist says my case is too aggressive for brachy, I would need to do the Boost, which he says intensifies side effects. I am doing the meeting to collect information. I am 64, a 4+3, PSA 3.5. Anybody done this? I understand it hasn't been around long enough to…
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Dealing with erectile dysfunction
How soon after prostate cancer treatment can I be sexually active again? Now ED drugs don't help me. This is killing me.
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prognosis
I recently underwent radical prostatectomy-pre-op. the Gleason score was 3+4, post op analaysis showed 4+5-surgeon suggests chemo and hormone treatment now a possibility. Urine & blood tests show levels within acceptable ranges, but at the low wne of the scale. Does anyone have an idea of what I can expect in regards to…
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Bulk Injection Therapy for male incontinence - Doctor referral in Florida + patient feedback from AU
Seeking: Recommendations for doctors who have performed bulking agent injection therapy on males to treat urinary incontinence. Feedback from diabetic Male patients who have undergone, penal implant / AUS operation. You don’t have to read the following, it’s just provided for (long form) context! My current urologist…
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Losing Patience
I had my robotic assisted prostatectomy on February 14. All went well. Tumor was confined to prostate, nothing in surrounding tissue, and benign lymph nodes. The catheter was removed on February 27. I started out using about 5 or 6 pads a day and at least 3 thru the night. I never felt the urge to urinate. I called the…
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My Nurse Navigator Didn't Notify me of a Gleason Score Change!
Just joined! My 1st Post. How would you react to this? We respect our doctor but have reservations as to the running of the department, path lab and now the Nurse Navigator. I understand that a busy doctor needs someone to run interference, after all, there’s so many questions the newly diagnosed have, I can understand…