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Am I a Candidate for FLA? Surgery in 3 Days!!

Posts: 29
Joined: Jun 2017

Maybe I'm getting cold feet? I had ruled out radiation because the hormone therapy would be bad for my comorbidities of diabetes and cardiac, so I researched the best doc and hospital in Chicago and on Wednesday I am going in for RP surgery.

However, by total coincidence I am going in for a new type of MRI tomorrow: 2 hours of laying still, and I learned it's part of a study to use in the future for FLA. So I have done a ton of research in the last day as to if I am a candidate for FLA, if my Blue Cross PPO of IL will pay for it, etc. It is presently Sunday so I can't contact the Univ of Chicago's Uro department.

My reservations are there is no long track record for FLA, and I am reading that as a G 4+3 I may have missed the cut off? There seems to be two well known privately owned (red flag) FLA clinics, but I'd like to have it done in a teaching hospital where there's no profit motive.

So, any advice would be greatly appreciated and when I go in for the experimental MRI tomorrow I will try to see if I am a candidate and possibly postpone Wednesday's surgery.



Old Salt
Posts: 808
Joined: Aug 2014

Stick with your plan and don't go with a largely untested procedure.

But, with your test results (and other health issues), I would have seriously considered SBRT for treatment.

Posts: 152
Joined: May 2017

If it were me, I would not go with a treatment option that new and with limited rigorous study data unless I was trying to solve a difficult problem that cannot be addressed by established successful procedures. Surgeons are saving lives everyday with RP and unless you have an advanced case you have a high chance of cure. In addition other procedures will still be available to you later. With FLA I don't know what your salvage options would be. What is it about FLA that appeals to you more than surgery?

how many RP's has your surgeon done?




hopeful and opt...
Posts: 2331
Joined: Apr 2009

FLA is new, in theory is great, however technology is not advanced at this date for excellent outcome. Additionally it is oriented to small amounts of 3+3=6

Surgery can have major side effects, more so than any other active treatment.

SBRT has limited side effects while still having excellent cure results

Here is a study





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