Was diagnosed PC left lateral base Gleason score 3+3=6 involving 5% of one of two cores 3/1/2019. 6 months on active surveillance and taking Finasteride and Alfuzosin for BPH and extreme large
Prostate.
MRI done 10/29/2019 with no sign of anything changing. Another biopsy scheduled for beginning of year. Urologist states if no change after biopsy we will start looking at treating BPH symptoms and put PC on the side. Thinking why don’t I just have it removed and be done with it at 53 years old.
And go.......
Written by
Jager2014
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Because the side effects of just having it removed and being done with it can make the rest the rest of your life miserable. Over half the men on AS never need treatment.
There's lenty of time to have it removed; and active surveillance means watching it so that if it should need to be removed you will (or treat it in some other way). I did active surveillance for several years until mine was removed, and those years of surveillance included full sexual functioning and continence, both of which I had problems with after the removal. I'm glad I had those additional years of full functioning.
It is a balance between the anxiety of Active Surveillance and the anxiety of losing your sexual function and losing your bladder control. I was never a candidate for AS, so I view you as lucky to have that choice. The statistics are really good for AS and in my opinion too many men cave in from pressure from themselves, their family or their doctor. Yes, do some research first and DO NOT trust that your doctor's opinion is neutral and non-biased. It ISN'T.
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