Biopsy results

Wheel

Definitely good advice about concern of the Urethra to engage your Urologist in questions regarding Radiation treatment if that is any concern in Radiation treatment as you consider your treatment direction. You are in a good position to have time to thoroughly research the pros and cons to you in deciding on your treatment course. Don’t hesitate obtaining second opinions.

Wheel

one additional consideration on the AS side. If your Doctor feels inevitably sooner than later that you will likely need to go off AS if you continue that route then you want to consider the trade off of quality of life of maybe two additional years without potential Incontinence issues, ED issues, or rectal issues or Proceeding now with Surgery or Radiation out of concern the cancer is growing. It’s important to realize the quality of life side effects are potential, not everyone experiences them or to the same degree as others. Surgery has much improved with nerve sparing, Retzius sparing and puboprostatic ligament sparing, and single port entry reducing or eliminating incontinence issues and diminishing ED effects. ED with radiation often is not as immediate but can begin months later. Rectal issues are also diminished in Radiation with the new spacers put in place prior to Radiation. Radiation can be done and completed in as quick as a week now. At a certain age or one’s health even if younger than 75 Surgery becomes not an option regardless, but if surgery is done, Radiation can more easily come later and it is held as a backup. If Radiation is done first, salvage surgery is considered much more difficult but can still be done, however only certain skilled surgeons will do that.