Prostate

[Fight11]

For all of you that have a Gleason score 9 and maybe Group four have you had your prostate removed? My husband was on able to have his prostate removed He ended up having 42 rounds of radiation.. Doesn’t make a difference for survival rates or complications if you were an able to have your prostate removed also if you can’t have your prostate removed are you able to get a second opinion where someone might be able to remove it after radiation or is this not possible

[Hidden]

After radiation, prostatectomy is a very risky endeavour. Only a handful out of hundreds of surgeons would agree to undertake such a procedure. There was one such case reported here that I can recall. Said USA surgeon had more than 10 thousand procedures under his belt.

Difficult and risky is the bottom line.

[Fight11 in reply to Hidden]

I wonder if it would have made a difference with all this

[StayingOptimistic in reply to Fight11]

I think dr. James eastham at MSK specializes in this procedure I had heard years ago.

[TheTopBanana]

Had he has radiation to mets and prostate bed? My father Is G9 and had prostate removed before his recurrence. He got his prostate bed radiated, I understand that it is another way to “attack the source” as well.

[Magnus1964]

I have never heard of having The prostate removed after radiation. Is he on any ADT drugs? Usually Lupron is given before and during radiation.

[fluffyfur]

Our urologist at MD Anderson CC does them frequently. Some patients can benefit from post radiation salvage prostatectomy. ncbi.nlm.nih.gov/pmc/articl...

[Tall_Allen]

You would never have a prostatectomy after radiation. Even if a surgeon says he can do it - don't. Radiation has fewer side effects than surgery and is equally effective.

Radiation of the prostate improved survival only in men who had few metastases. How many does your husband have and where are they?

[Hidden]

No RT after an RP ... I was #4 non op and I did imrt and adt to put me in a clear status over four years now . I hope the same for him.

[j-o-h-n]

Slash and Burn.............

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 07/26/2020 6:29 PM DST

[RonnyBaby]

You will discover that, in not all cases of PCa, at the outset, does not result in the removal of the gland.

If the cancer has spread outside of the gland, RP (radical removal) is not seen as an advantage, because there is not an 'increased' benefit, when compared to radiation.

In fact, some might see it as the preferred course of action. Radiation is basically the equivalent of removal - in most cases - the net result is the same - the gland is 'neutralized' or basically, just a inactive mass.

ADT will be a necessary component of primary / front line treatment (combo).

G9 is an aggressive form of the disease, so you should be aware of the treatment options in the future. In addition, it is not uncommon for a recurrence down the road - about 1/2 might see it come back - often in a potentially more advanced state.

It needs to be pointed out that simply having the 'cancer' will result in the following 'outcomes'.

My last statement is a fabrication.

It is too early to predict any outcomes. Give it some time AND don't panic - this will take time to resolve and that is a reason to be encouraged.

In my own situation, I was G9 with a much higher PSA and node positive (Dx = T3b / N1 / M0). That was in May of 2017. I underwent radiation and ADT - currently on an ADT vacation. When I was first told what I had, I thought it was a death sentence.

In my case, a recurrence is probable, so my vacation will be ending in the next few months.

I'm OK with that.

I was wrong about the instant death sentence - today, I am doing well and hope to be around to fight this for many years to come.

Wishing you well on the journey ....