radical prostatectomy after HOLEP - Is it possible?
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I wouldn't rule out radiation completely. It's statistically equal to Radical Prostatectomy. Both can have undesirable side effects, but there are many successes with both procedures. There are many options and like Wheel says "a lot goes into these decisions". Mayo Clinic is world class and I'm sure can offer some of the Focal therapies you described, but only if you're a good candidate for them. I was deemed a good candidate for Focal Therapy at Fox Chase Cancer Center and went for IRE Nanoknife ablation. Unfortunately for me, my cancer metastasized and I'm now on ADT and will be getting radiation as well. My point is; There are no guarantees with Pca. No matter which we choose may or may not be a one and done deal. Make the best informed choice you can and using a center of excellence like Mayo Clinic is a great start. Keep an open mind.
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This is really a question for the specialists. You can consult with more than one, if needed.
This is what Copilot had to say:
Yes, it is possible to have a prostatectomy after undergoing Holmium Laser Enucleation of the Prostate (HOLEP), but it depends on individual circumstances and the presence of any complications or remaining cancerous tissue.
Some patients may opt for a prostatectomy if there is residual cancer detected after HOLEP, but it's important to consult with a specialist to determine the best course of action. Scar tissue from the previous surgery can sometimes complicate the procedure, so a thorough evaluation is necessary.
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