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Prostate Cancer

Orgovyx vs. Eligard
Been on Bicalutimide (Casodex) for almost a week now. Haven’t noticed any effects except some bouts of flatulence. Had an appointment with Fox Chase medical oncologist yesterday. Very professional, she’s offered me a choice for step 1 of Orgovyx pills or Eligard injections. She mentioned that Orgovyx can be cost…
IMRT Low Fiber Diets and Normal Bowel Movements
This coming Tuesday I'm beginning 8 weeks of IMRT radiation treatments. They want me to start eating a low fiber diet to minimize gas in the bowels. Evidently gas can cause the prostate and other organs to move around a bit which could affect the accuracy of the beam radiation. Also they want me to empty my bowels and have…
Taking a break from Lupron
just finished a 3 month Lupron shot and now PSA and testerone are virtually 0. This after prostrate removal, radiation and ADT over the past couple of years. When PSA started to rise Lupron was prescribed. It seems to have worked for now. My oncologist recommend continuing Lupron along with something additional. Is it…
Asking for info / Venting a bit before tomorrow's appointment
I first posted back in December when I was getting scheduled for a biopsy. Here is my story so far. I should probably just wait for tomorrow's appt with my urologist, but want to go into that appt with some knowledge of what to expect. My wife is the worrier. I am supposed to be the rock. Need to know a few things so I can…
biopsy results gleason 6
just got the news. im 69yrs old 6 out of 12 positive all on left side. PSA is 5.8 but have been taking Dut for bph, Psd is .19, gleason 6, T1c, grade 1 ,Dre was normal. im trying to get a quick education in this area. My urologist spent 10 minutes with me , asked me if i was still sexually active and made an appointment to…
reading bone scan results
Can anyone explain what it means when the bone scan result says there is rounded moderately intense abnormal uptake involving the left posterior mid cervical spine distribution? My husband has been diagnosed with prostate cancer, and I am just trying to understand his bone scan results. Thanks
Decision on moving forward
Hi! I am a 60yr old gentleman with Prostate Cancer and I have questions on how to move forward with my treatments. Initially I was diagnosed with prostate cancer PSA at 79.7 back in Jan 2024 and have done a biopsy as well as a petscan and they also found out that I had a kidney stone a size of 3mm, which has since been…
ADT/breast pain or breast enlargement
would some of the panel members please share with me their experiences with breast pain or breast englargement while taking lupron. i have talked to some men that only had a small increase of breast size while others have gone as far as surgicial reduction.
18 months post RP
Just got PSA < .1 So far, so good.
What's Joe Tippen protocol
I'm 54 living in Omaha NE, in good health. My routine blood test brought out a PSA 7.3. Ending up to be a prostate cancer Gleason 7. I'm yet to decide what to do. My urologist is suggesting a surgical removal of prostate. I'm just doing my homework. Anyone can instruct me about "joe tippen protocol "? Thanks
radical prostatectomy after HOLEP - Is it possible?
I had a partial HOLEP after I was not able to urinate, and they found cancer - Gleason 3+4. An MRI showed that there was still cancer in my prostate. Everyone wants me to have radiation, but I would rather have another HOLEP operation and remove the rest of my prostate. My radiologist says that no surgeon would do this do…
HIFU in Phoenix area
I had a partial HOLEP after I was not able to urinate, and they found cancer - Gleason 3+4. An MRI showed that there was PI-RADS category 4 suspicious mass, right posterior lateral basilar peripheral zone. I will get a biopsy in March. Everyone wants me to have radiation, but I would rather have HIFU. I would like to hear…
Gleason score of 7
In 3 of 12 biopsies Dr wants to remove prostate ? Should I ? Or better options ?
newly diagnosed prostate cancer
I am 71 yo male in fairly good physical shape. Had an MRI done after an elevated PSA of 11.3 on early January 2025. The diagnosis as per UCLA was a Locally Advanced Prostate Cancer. I am scheduled for a biopsy on February 11th. I have visited with several different urologists to learn about my options. I am also looking…
My Latest MRI and Back Story
Figured I'd share the journey… Just had my first MRI while on Active Surveillance. My history is had rising PSA in Fall 2021 (from 4 in 2020 to over 5 in 2021), had an MRI then which identified a PIRADS 4 lesion, had a biopsy with 12 samples on a grid and 3 in the lesion. The 12 on a grid were normal, the lesion samples…
Looking for Kaiser MDs, Bay Area if possible
Hi, My husband, Jim has 4+3 Gleason score, PSA 10.4 (11/2024), PSMA PET is negative for spread, MRI showing the tumor is on the left side and "extracapsular". The treatment options presented to Jim are surgery or ADT/brachytherapy/external beam radiation. I've seen posts here from 2010 and 2014 naming some surgeons at…
Working out
I'm coming up on two months after my Prostatectomy and I see my Urologist on Jan 10th, 2025. My questions for you guys. 1. Have any of you been riding your bicycles any issues? 2. Do Any of you ride dirt bikes with any issues? I've only been walking and NO GYM at all! Note: I'm 66
67 years old Gleason score (3+4) next
Signs of Life
Nearly 16 weeks since RARP and last night out of nowhere there was “a sign of life” as far as the ED is concerned. How or why I don’t know but suddenly had the closest thing to an erection since before surgery and there was pretty good sensation with it. Taking this as a good sign. Incontinence is greatly improving and…
Proton vs IMRT
I know many of you have seen the results of the Partiqol study comparing IMRT to Proton. Generally the take away is that the treatments are equivalent. I agree with that assessment . I was reviewing some of the details in that study and the thing that really struck me was how good both treatments were. I personally think…
Radiation Proctitis Argon Plasma Coagulation treatment
I had radiotion treatments that ended in may of 2017, Started seeing blood clots in my stool. Turned out to be Radiation Proctitis..During Sigmoid oscopy they were able to see the bleading and there was a lot of damage and the Dr he basically lasered the whole area. I saw the photos... Has any one had any side effect from…
Urinary Retention from Radiation Therapy
I'll be heading for 5 weeks of Radiation Therapy soon. Having had a bout of acute urinary retention (not being able to pee at all) after my IRE ablation procedure, I'm paranoid that it may happen again with the RT treatment. My doctor thinks it unlikely. He claims the radiation is much less likely to cause the kind of…
First Transrectal Biopsy
I'm scheduled for my first prostate transrectal biopsy on Monday morning. I made the appointment months ago, but it’s been on my mind ever since. As an older man, I feel pretty anxious about everything, from the prep to the procedure and the results. Any tips for easing my nerves?
What do you wish you'd asked? + ED after more than 3 years
Hi all, I'm 56. Was diagnosed last year Gleason 3+3 and chose active surveillance. That has progressed this year to Gleason 3+4 in 2 cores with some cribriform patterning. Decipher is 46 with intermediate risk. I have to choose a treatment and hate all options. I find that doctors don't give you the whole picture and I am…
Pathology Report Question
Good afternoon, My father had robotic surgery to remove the prostate following a PIRAD 5 Prostate MRI (No lymph involvement) and a postitive biopsy showing Gleason 3+3 and Gleason 3+4. Surgery on 9/23/24, deceived the unfortunate news last week that there were positive margins. Conversation with the surgeon was a 2 minute…
finished radiation
i had prostate surgery in may of last year and then radiation and finished that in novermber just had a psa score taken and it came back at 0.25 do i need any further treatment
Catheter and Cystoscope
I need some advice. After spending a week with a catheter due to blood clots in my urine, it was removed and followed with a cystoscopy. Before the catheter was placed (after three attempts), I was able to urinate. However, now I’m having difficulty urinating—I feel a frequent urge but can only produce a trickle. I also…
Proton Therapy Study Results for Localized Cancer
Since I plan to pursue radiotherapy if & when I have to step off of the AS track, I keep up with the research on efficacy of different methods. Here's the results of a recent randomized study comparing Proton Beam Therapy (PBT) and Intensity Modulated Ration Therapy (IMRT) which uses photons, for localized cancer.…
Husband diagnosed as intermediary unfavorable
We are looking at treatment options and leaning toward surgery. He is just now 65 and fairly active and healthy. We are in Texas and have access to MD Anderson, which is great and Medicare…. Just. We have read/heard alot about ivermectin. Has anyone done any natural treatments or do you have advice. I want to move forward…
Latest on IRE Nanoknife Focal experience
Thought I'd start a new post and update my Pca journey. Condensed history: First diagnosed November 2023 with 4+3=7 tumor within gland. Confirmed by 2 biopsies, bone scan, and PSMA PET scan. No metastasis. After local urologist suggested surgery or radiation I got a second opinion from Fox Chase Cancer Center in…

Prostate Cancer

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