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Salvage surgery it is
Everybody knows my story been going on for about eight months I’m really really tired of the scrap PSA scan then another scan and MRI then a biopsy then meet with a radiologist meet with a cryotherapy doctor meet with two different surgeons radiations out of the question that guy screwed me. I asked a point blank about…
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MRI fusion Prostate Biopsy next Monday. I am doing a lot of research, and have many questions
This is a great forum. I just scratched the surface and I have so much more to research on this. For now, this is what I have. I am 68. I live in Southern California. I have Medicare and medigap insurance. In early 2022, my PSA was 3.9. By November 2023 it went up to 5.3. My PCP gave me referral for a urologist who asked…
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Considering where to get treatment for my prostate cancer
I recently had a biopsy done and was diagnosed with prostate cancer, and so I'm doing research to determine where to get treatment. I did some more research and found that MD Anderson in Houston is rated very high. I live in San Antonio, and while we have a pretty good medical center here in town (I believe Mays Cancer…
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Private dr or big institutions
like to talk about choosing doctors I always hear find yourself a doctor that’s done 2500 or 3000 prostate surgery I mean let’s face it most of us should have urologist they don’t do the surgeries or maybe they do and if you’re lucky enough to maybe been with your urologist for 10 1520 years and you trust him that’s great…
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TRT on Active Surveillance?
Is there anyone out there that have a gleason 6 or 7 on Active Surveillance that are still on TRT?
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Freshly diagnosed, need advice
Any help will be appreciated, very new to the topic. About month ago, I had prebiopsy PSA around 45, and later got following biopsy results: Agregate Gleason score 7 in about 70% of the volume. The primary Gleason image consists of small and medium-sized glands in groups within Gleason image 3 and are represented in about…
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3 lesions PI-RADS 5
I am 46 years old with 3 maternal uncles with prostate cancer. My PSA was high for 18 months. The doctor decided to do an MRI. Monday, 2/5/24, I received a call that I had 3 lesions within my prostate. 2 of the lesions were protruding in the a capsule wall into the fat tissue. All three lesions were rated PI-RADS 5. The…
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Groin pain
Was diagnosed with prostate cancer about 5 1/2 years ago. Immediately had radical prostatectomy. Was 58 at time of procedure, now 63. Surgery went well, I was fortunate enough to not have any incontinence issues. Erections are a different story, just not happening. Just accepting that, it is what it is. PSA was…
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Need opinions about questions for dr
Everybody knows my story failed radiation treatment. It’s not biochemical failure .. the radiation treatment didn’t work because I apparently Cribi form is radiation resistant so now one final meeting tomorrow and then I’m making a decision between Cryo or salvage surgery.. the doctor UCLA will have some serious questions…
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8 months post radiation and Cyberknife and 3 months post 12 months firmagon
Husband just recently finished treatment for prostate cancer with me. Gleason score was 8. Starting PSA was 2.8 before treatment. 3 months past Cyber PSA was .044. 6 months past Cyber PSA is .064. Does this indicate a concerning rise? And is there a need to worry? Messaged urologist and he said to come back and test in 6…
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Confused! Recently diagnosed with prostate cancer
No prior health issues at 67 years old, with PSA at 4.3 My urologist ordered MRI which showed "suspicious areas" He then performed trans-rectal biopsy which confirmed 3 samples out of 17 having adenocarcinoma. Gleason 3+4=7, 3+3=6, and 4+3=7 respectively. Also one other sample having HGPIN. After consulting with him, he…
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Decision time on salvage treatment ..i am torn
Well, the first time should’ve been easy do surgery and get this crap out of my body but I chose the other radiation and now I have a reoccurrence.so I’m a candidate for both salvage surgery. Also cryotherapy and radiation radiation is out of the question. I’m not even thinking about it didn’t work the first time I don’t…
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Robotic prostectomy Vs Radiation
Hi, My husband is 50 years old and is diagnosed with prostate cancer with gleason score of 6. The biopsy report also shows perineural invasion shows cancer spread in 15 out of 17 cores. The urologist initially recommended monitoring but when we questioned regarding perineural invasion and risk of spreading the cancer…
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smelly urine after prostate surgery
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What proceedure did you choose or are considering
Like everyone else at my point in this journey, I'm trying to learn as much as I can about the various proceedures available to treat my prostate cancer. I want the "trifecta", and more. No incontinence, sexual capability intact, good stream and of course the cancer gone. I know this may be unrealistic but I'm pretty sure…
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More than I imagined
I don’t know if it’s the hormone therapy or my physically demanding job or radiation treatment but after week one 5 treatments I am a little overwhelmed
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HIFU
I'm just beginning this journey. I've posted in a couple of threads, but wanted to ask if anyone on here had or studied the HIFU (High Intensity Focused Ultasound) proceedure. My questions are, is it covered by Blueshield CA advantage medicare plan? Am I a good candidate? If the answer to the first question is no, then I…
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Trying to make sense of this whole thing. Newbie here.
I was just diagnosed with PCa a little over one month ago. PSA rose to 4.9 at my annual physical, saw a Urologist who ordered an MRI which was Pirads1 nothing seen and biopsy. Biopsy-G. PROSTATE, RIGHT MEDIAL BASE, NEEDLE BIOPSY: PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3+3=6 (GRADE GROUP 1). CARCINOMA INVOLVES 35% OF ONE…
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Three different opinions need a recommendation for Telehealth consultation.
66 year old healthy male PSA 4.9, MRI Pirad 1, ExoDx 58, Biopsy 3/12 positive cores, 2 were 3+3, the other was 4+3 with 75% being a grade 4 and 25% a grade 3. Decipher score .44. Pet scan was normal except the two areas of concern mentioned above. Impression of PET "The prostate measures 4.4 x 3.3 x 3.5 cm. Focal increased…
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When to Get Second Opinions
I started a thread last week about my situation having recently got the PRADS 5 score. My urologist moved up my follow-up appointment to late this afternoon. I'm trying my best to be calm and to get the most from the visit. I'm wondering at what point in the process it's recommended to get a second opinion. He'll almost…
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Missing items from RALP Discharge Summary
I thought I would offer these notes and tips that seemed to be missing from my discharge instructions, to those that come after me: + Days 1-3 + + Waking up in the recovery room ……. I awoke without fanfare, flashing lights or sirens. For this I thanked my lucky stars without complaint. Everything else, come what may. + +…
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New diagnosis and treatment options
Hi, I’m a caregiver to a loved one newly diagnosed with prostate cancer. We’re still learning and have really valued this discussion board- thank you all. My loved one is 73 years old, active and generally healthy (but does have heart disease well managed) and his PCP told him 6 years ago not to get PSA anymore. This year…
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PI-RADS Score of 5 - Next Steps
Hi all, Just to give a bit of background - my father died of prostate cancer as did my maternal grandfather. Both my mother and her sister died of breast cancer. My PSA has been followed since my early 40s. At age 50 which was 2 years ago, it tested at 5.1. I had an MRI that indicated only a benign condition. My PSA…
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Nanoknife my journey
Hello everyone! I had my Nanoknife procedure performed on August 29, 2023 and I am reporting back my experience. To make it easy to follow I will use sequential numbers below. For detailed background check previous postings. On another note, using this site is not an easy task for me. Procedure time about one hour under…
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Eligard vs Orgovyx
Heys guys, I am currently undergoing ADT therapy for Gleason 4+3 with one lymph node metastisis. My therapy is currently 2 months of Firmagon then to switch to Eligard for 3 months. I do know of the newest drug on the market taken daily called Orgovyx. I do know one is an Agonist and the other is an Antagonist. The Orgovyx…
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PSA jump in 2 weeks
I am a 50 year old and I have been diagnosed in April with Gleason 3+4 but only 5 to 10% of pattern 4 in 3 cores. I have been on active surveillance since then but my PSA has moved from 4 to 5 to 6 in the past 6 months. I did my annual blood work on 12/28 and PSA was 6. But I just did a PSA test as part of the active…
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Nanoknife
I am 76 years old diagnosed with prostate cancer a few months ago. According to my urologist I am a candidate for this procedure consisting in zapping the cancer by applying electrical pulses at high voltage to kill the cancer cells. I looked at all the other methods and I am considering this procedure which I believe to…
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Very slowly rising PSA 3.5 years after radical prostatectomy
My surgery went well with really no incontinence issues 1 week post surgery. I have regularly tested PSA and my last several scores over the past year is outlined below. Prior to this I was and stayed in the 0.1 range, both above and below. They had not recommended a radiation oncologist consult until the 0.238 result in…
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My Journey begins - Navigating with Prostate Cancer
My first PSA test was at age 51 and was only taken as I was applying for life insurance. This was in 2014 and my PSA was 3.0 My next PSA was taken a month ago in November 2023 during a normal physical at the age of 59. This PSA test came back as 64 (not 6.4 but 64). I was referred to Urologist and they performed a DRE…
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Time from diagnosis to treatment
I think this is getting a little ridiculous five years ago first time round I was diagnosed on December 7. I did not start my therapy until the following July 7 seven months now five years later I have a final appointment with the surgeon at UCLA next tuesday and then I’ll make my decision. This will be six months since i…