Note: Links below update to reflect corrections and additions to document.
To date I have made a series of lengthy posts discussing my journey from diagnosis to deciding on therapy. In my mind, half the battle was making that decision as there truly are no great or best choices that apply to all. What makes it even harder is that there is no going back once the treatment is underway.
Anyhow, I decided to write up my journey to date and share with others in hope that someone might benefit from my experience. Perhaps my 11 page missive will be of use to some of you who are now going through this torturous phase of your own battle.
I signed up for linkedin just in order to view your article. All I see there is a one page intro in very small print. ..when I enlarged the print, became blurry? help would be appreciated..I obviously know nothing about using linkedin
You should be able to tap on the article image and then view or download. If you're still unable to read it, PM me your email and I will send you a copy.
Mate I just read your “journey to date” missive. Thanks so much for this very well written and informative account of your journey thus far.
I can personally say that you have provided me with some excellent information regarding available pro and cons of various treatments that are dependent on the individuals prognosis and parameters.
I wish you only the very best in the future surrounding your health and happiness.
Dang, thanks for catching that. A definite typo. I have revised the links above. I also corrected and added some additional info to the document which is now published as a web page so that I can edit it in the future as needed.
You've had a long road. Not that dissimilar to mine. Except I am at the stop sign looking both ways still. I am interested to find out what made you choose Retzius over regular RP? I am sure you've done your research. Best of luck.
The main factor for me in choosing Retzius over traditional RP is the significantly reduced likelihood of incontinence. There are also some studies indicating reduced incidence of peyronies and shrinkage.
Had my enlarged prostate not come into play I very likely would have gone with SBRT. Since surgery seems to be my best option I figure that the Retzius procedure, in experienced hands, tilts the crappy odds slightly more in my favor. I also liked the doctor's bedside manner although that was also true for the surgeon at Fox Chase.
There is some inconclusive debate as to if there is increased chance of positive margins via the Retzius procedure. I took that into account. Based on my MRI, it does not seem that this will be an issue. Likewise, the limited evidence seems to be statistically insignificant (within 2%) and could be attributable to any number of other factors. It appears that an increasing number of leading institutions are tsarting to adopt the Retzius approach. There was a similar debate about margins when robotic surgery first started becoming popular versus open surgery.
Michael,Dude, you are a great writer. Thank you. I read it like a novel. Your 2nd/lower link worked better. Best of luck in August. I hope your recovery is quick, and complete. It is all we can do. Research it well, listen to the experience of Men here on HU, go with our gut instinct when choosing a positively referred Surgeon/Radiologist (or both!), with a hope and a prayer.
I am now at 8 mos since Dx, with my Pharma Blockade putting the PCa into slumber, and pushing hard for Surgery or Radiology to hit these cells hard at 3am while most are sleeping. Everything is a compromise.
Michael,I read your blog. You have done your homework. You are well informed. Now just relax, and let the surgeon do his thing. Please keep us informed of your experience. Bestof luck tomorrow for a great outcome.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
At last I've come to a decision.
Just finished my SBRT treatment at MSKCC
My decision on Radiotherapy -v- Prostatectomy
Initial treatment decision sharing
My MSK Precise / SBRT Journey -- Treatment #1
