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In-bore MRI Biopsy vs Fusion Biopsy
I need a prostate biopsy for a Pi-Rads 4 lesion. UT Southwestern can schedule an in-bore MRI biopsy only in 2 months; a fusion biopsy can be done sooner. Is it worth waiting?
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Pain when urinating
I am 10 months post cyberknife treatment and continue to get what I think are side effects of the radiation treatment. The latest one is pain while urinating. It seems to be worse earlier in the day. I have restarted taking Flo max, which seems to help and Tylenol appears to take the edge off it. Does anyone else have this…
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Should an Endocrinologist be part of our team?
The Endocrine system is incredibly complex. ADT affects one, but that cascades to other hormone levels. If one's adrenaline or insulin were too high, we'd address it right away. And yet those hormone levels ARE affected by ADT and are responsible for many of our side effects. I'm not criticizing ADT. It has saved many…
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update ... RU newly diagnosed and confused
Just finished my SBRX MSK Precise (5 doses of radiation) yesterday. Been on orgovyx since Nov 1st, so far no side effects. Blood test for PSA, testosterone, etc done also, awaiting results. Next schedule visit and PSA test is May (three months after ADT is finished). A quick note … for anyone undergoing radiation and is…
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Question
Will a povidone iodine suppository used a hour or so before a transrectal biopsy, along with the antibiotics they require already, help with mitigating the risk of infection? Would it affect the tests? The radiation center doing the biopsy doesn't mention this option. I read about it somewhere. My GP thought it made sense.
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New and kind of wondering how worried I should be
Sat here trying to figure out how to start this. Figured I would just throw it all out there. It will probably be too long, I tend to give more details than necessary, just like this sentence. I am 58. Have my health care through the VA. Moved this past summer, out away from any large city, so now have a clinic for primary…
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Post-Radical Prostatectomy Pathology Results
I'm 4 weeks out from a radical prostatectomy and just received my post-surgery pathology report and it's indicating that cancer's a bit more advanced than pre-op biopsy/pathology/scans/etc. indicated. What I'm wondering is if anyone has experienced a similar situation and if further treatment was required. I'm having to…
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Cialis?
Hi folks. First time posting, but have read several of the comments and replies over the past few weeks. July 10 I had a Robotic Laparoscopic Prostatectomy plus the removal of two lymph nodes. Surgery went as planned although my prostate was like double the normal size, so I had to wear a catheter an extra week. Upon…
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Physical Therapy after Surgery
Hi Folks. I have seen a few posts mentioning physical therapy (PT) after surgery to help with incontinence. I am 5 months post op and I still need to wear shields to help with those annoying leaks that happen from time to time (last night I had a rather aggressive sneezing attack which was not fun). I do the Kegal…
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side affects etc.
I am a 66 year old who was treated for prostrate cancer, went through Brakey Therapy was clear for 6 years and then my PSA went up and it was discovered that my cancer metastasized in my tailbone. I went through Radiation now for the last year I am on 1000 mg of Zytiga, 10 mg of prednisone and Lupron shots every 3 months.…
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ADT Side Effects & Different ADT Drugs
My brother-in-law has recurrent prostate cancer (he was originally diagnosed with stage 4a) and his oncologist wants him back on ADT drug he took for 2 years. Thing is the side effects were horrendous. From what I've read (NCI, ACS, etc.), side effects can vary some between the various ADT drugs. His oncologist said they…
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Decision Process re: radiation Type
Having just received a diagnosis of prostate cancer, my urologist indicated that radiation is his recommended approach and I'm scheduled to meet with radiation oncologist shortly. I'm stage 2, with evidence of Cribriform pattern 4 so active surveillance is not an option. Recognizing that everyone is different and…
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Lurker finally posting....
I've known for the last 45 days that I have prostate cancer that requires treatment (65 yo in very good health). And I am committed to whatever treatment I select. I have been reading posts here for the last 30 days and I have found those posts to be very informative. Very useful. Plenty of YouTube vids to boot. But I am…
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New Guy Reporting In
Greetings, Gentlemen. New guy reporting aboard here, although I’ve been watching this forum for last couple months to learn as much as I can from the collective experience of all participants. I’m 73, retired Navy, and in pretty good shape/health. PSA for nearly 20 years was 0.4 to 0.5. But it started climbing 5 years ago,…
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Proton Radiation Therapy for prostate cancer and other cancers
I am done with a 28 treatment proton therapy plan at the University of Florida Proton Therapy Institute Center in Jacksonville. Initial PSA 5.5 Gleason 6 and T1c score. First let me say that Proton Therapy for my low grade prostate cancer was the best solution for me. I am relatively young, still play volleyball, swim and…
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I would greatly appreciate your opinion.
I am 70 years old with good health. My prostate biopsy indicates Gleason 3+3 well-defined in 5/12 (40%, 50%, 20%, 60%, 15%) all on the left side. In 2/12 perineural permeation present. Rectal examination indicated hard movable parts and the biopsy showed well-defined edges. Diagnosed since 2020 with BPH Grade II by annual…
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Prostate cancer age related
so I’m 77 years old and was just recently diagnosed with prostate cancer with a score of eight and PSA of 6.6. I had a bone scan and a PET scan and it showed that the cancer has not spread outside of the prostate so that’s the good news. Surgery has been recommended but everything I read and seem to witness on these chats…
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MRI PI-RADS 3
Rapidly rising PSA (1.9 to 7.6 in 6 months - but might be due to just having Covid. Urologist wants retest in a month). MRI shows 8 mm lesion (mild decreased T2 signal, DWI=3, but without rapid contrast wash). Is this probably cancer? Should I get a biopsy? (I also have BPH).
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Just had biopsy
I’m new here. I have had prostate issues for about 15-20 years. Usually bph and prostititis. Mathis year my psa went from 4 to 6 and my isopsa is 14. I had a biopsy the other day and this is all That was in the drs notes.”The seminal vesicals were normal in size, shape, and configuration. The capsular margin was intact. A…
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Biopsy results
Hello: Received results this morning. Any informed comments would be appreciated. Final Diagnosis View trends A. Prostate, right posterior medial, needle core biopsy: Prostatic tissue, negative for carcinoma B. Prostate, right posterior lateral, needle core biopsy: Prostatic tissue, negative for carcinoma C. Prostate,…
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R U just diagnosed and overwhelmed? Some info for you
Diagnosed about 5 months ago and I couldn't believe that I had to make the final decision about what option (surgery / radiation ) to choose. So I am going to list some info hopefully to make it easier to understand what questions you have to ask. My journey. High PSA 8.5, up from 4.0. Urologist orders MRI. MRI comes back…
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Prostate cancer with metastasis to nodes
Im 54 and recently diagnosed with prostate cancer and my PSMA shows 2 mesorectal lymph node involvement. I got next Wednesday for my first appointment with the medical oncologist. I've read a lot on treatments and very confusing. Some say I can't have a prostatectomy others say maybe with radiation. I'm just so confused…
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1st post Prostatectomy PSA after sixty days
I just received my first PSA 2 months after my prostatectomy. It was .04. Is it normal so soon after the prostatectomy for it to be at that level and will it continue to fall more. What were others 1st PSA and subsequent one. Thanks Wheel
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Incontinence question
Four weeks post RARP today. I know there is no identical timeline, but just wondering at what point those of you who have been through this started noticing significant improvement in incontinence. I'm to the point now I'm good sitting down, even if I cough or sneeze most of the time. However when I stand it's pretty non…
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Chemo & Prostate Cancer-Any experience?
my cancer has spilled outside of my prostate to my lymph nodes. I have gone to chemotherapy and and have gone from one chemo to taxotere. It appears that the cancer is growing. Does any one have anyone have any experience with chemo and prostate cancer?
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Interested in speaking to people have had the prostectomy and post op Hormone therapy and radiation
I'm 54 years old. Diagnosed at 52. Had the prostectomy in July 2022. Only to find out ther was still cancer present. 0.22 PSA, followed up treatment with hormone therapy and radiation. Radiation ended in January 2023. My last hormone injection was February of 2024. Looking to connect with people have had the same path.
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Radiation+Lupron: wicked one-two punch
PCa diagnosed 9/2015, LRRP performed 11/2015 at MD Anderson in Houston (the mothership). 50+ lymph nodes removed, with three having cancerous cells. Post-op PSA <.1. Incontinent for about 1 year but then bone dry. Sep 2019 PSA increased to .2. In Feb 2020 doctor referred me to Radiology, where I underwent one year of…
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Appointment wait time
My name is Retha and i have a question. My husband recently had an MRI and was told he had 2 lesions with PI RADs of 4 on each and that they needed to be biopsied. That was on the 7th of October, its now the 1rst of November and we haven't heard from anyone about an appointment for the biopsies, is this normal .
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Finished IMRT, now what?
I was diagnosed with stage 4a prostate cancer gleason 9 (4+5) a few months ago. Spread to a couple of pelvic lymph nodes. I went through HDR Brachytherapy in late July followed by 25 sessions of IMRT. I just finished my last session on Thursday. I am on orgovyx and zytiga for 2 years. My last PSA test was .10. So, as I…
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Prostate Cancer Survivor, Regrets
So. I had it out in 2019. Nothing has been the same. I have had neuropathy quite bad right after the surgery for months (doctor rejected my claims of pain and weakness in the leg for whatever reason and said my cure from cancer outweighed whatever), zero sexual anything and serious problems peeing for five years. I have…