Hello, I'm new to this site - Advanced Prostate...

Advanced Prostate Cancer

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Hello, I'm new to this site

MydogisTed profile image
12 Replies

I'm a 70 yr. old male and was diagnosed with advanced prostate cancer this year. I was treated for localized prostate cancer in 2020, and after radiation treatments my psa had dropped to 0.7. In 2022 my psa began rising, so my urologist ordered Ct and bone scans. Bone scan revealed that cancer had metastasized to bone. I am meeting with doctor this week to discuss treatment options. I assume that I will be started on ADT. To complicate matters, I have a bad right hip and need to have hip replacement surgery. I was scheduled to have the hip surgery earlier this year, but because of some issues with my heart (I also have AFib), the surgery was postponed. Has anyone had a surgery like this while on ADT? Should I try to get the surgery done before starting any hormone therapy? Thank you in advance for any advice you can give me on this.

12 Replies
Lulu700 profile image
Lulu700

Welcome aboard the titanic! The band plays through! Walk Ted daily . I Too May need a hip at some ponit . So I’m watching what others say to you . Good day !

MydogisTed profile image
MydogisTed in reply to Lulu700

Thanks for your reply. Ted and I have walked many a mile together. I had my first injection of Elligard today, doctor will monitor psa, but said ADT should not interfere with hip replacement. I'll discuss this with cardiologist and orthopedic doctor and see what they say. I think the sooner I can get it done the better.

Lulu700 profile image
Lulu700 in reply to MydogisTed

Mans best friend . Keep walking him daily if possible . Good news about the hip . I agree , the sooner the better .it is going to be some fun for you between the hip and adt . But You’ve got to do what you’ve got to do . An Eliptical might help , no impact . My first shot ever was a one month firmagon shot . It took my Psa of 20 down to .oo4 …then i did two 3 month Eliguard shots ,then 18months of tri monthly Lupron . Se la ve . No t for me , no pc either . Good luck . 💪

tsim profile image
tsim in reply to MydogisTed

Had my hip replaced while on ADT, no problems.

London441 profile image
London441

I have had a hip replacement for 7 years. It’s a easy surgery as surgeries go, and recovery is fast.

However, your strength and fitness level will determine both how well you do and how long it lasts.

You want it to last as long as possible because revisions are never as good as the original. Lift weights and stay active overall for best results. The ADT will be a challenge but very manageable if you pay attention to your caloric intake and get plenty of exercise.

SteveTheJ profile image
SteveTheJ in reply to London441

Disagree. Hip replacement surgery is NOT easy to recover from. Don't take anybody else's word for that! Mine was tough to recover from (it was 10 years before the cancer diagnosis).

Point is, if you're going to do it, do it but don't go in believing it'll be easy because it probably won't be. Everybody is different!

London441 profile image
London441 in reply to SteveTheJ

I should have been clear: Age and especially strength m, mobility and fitness level are the main determinants. If those are good a hip replacement is one of the easiest and fastest recoveries. I was walking 2-3 miles a day in less than a week. Adjust your expectations according to your condition.

SteveTheJ profile image
SteveTheJ in reply to London441

That's not true either. The pain before surgery is determined by what's wrong. Congrats for what you say is an easy recovery but they're not all going to be easy.

London441 profile image
London441 in reply to SteveTheJ

I didn’t say they were ‘all easy’. No surgery is easy. I said THR is easier than most because recovery is pretty swift if you start moving as soon as possible and are fit and strong. Not if you start getting fit and strong after, but if you’re that way going in. Many miss it there, which, as with all surgeries, spells trouble.

Since the pain before hip replacement surgery is nearly always caused entirely by ‘bone on bone’ inflammation due to loss of cartilage, pain relief is almost invariably dramatic immediately post op.

That’s when the work starts. Simple but not easy. Welcome to old age, as we say.

Neglected rehab undermines successful orthopedic repairs all the time, but it’s not inevitable. The choice is ours.

Teacherdude72 profile image
Teacherdude72

While on monthly Lupron I have had both knees replaced, a year apart, and major hand surgery after that with no issues. All healed as doctor's expected.Stay Positive! Live your life - it's the one you have.

KAgolf profile image
KAgolf

get "anterior hip replacement"--think that's what it is calledthey go in thru front and don't slice muscle--very easy recovery according to friends--you can cross legs, bend to tie shoes, etc. right away--much better procedure than the traditional "original" type.

good luck

MydogisTed profile image
MydogisTed in reply to KAgolf

Thanks! I had my first Eligard injection on June 6th, and I'm meeting with my orthapedic surgeon next week to discuss when he can do the surgery. I'd like to get it done soon, hopefully before I start feeling too many of the side effects of the ADT.

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