yoday

[Laguy01]

went to surgeon for consult. I enjoyed talking to him and his candor. I was told by him radiation treatment would be better choice due to complications for two other surgery's.

i have had bowel resection and hernia sergery with mesh. We called the radiologist to get things going with him. Need to get a PNSA scan and MRI.

[j-o-h-n]

I believe that hernia repair (surgery) wouldn't be an issue for RPD. I've had several of them (left and right side) as well as a double one (R and L) during my "open" RPD.

Good Luck, Good Health and Good Humor.

j-o-h-n

[Tony666]

hi. I see from your profile that you are Gleason 8, which is high risk. If you want to stay with surgery because of concerns over the impact of radiation on your complications, but want to intensify treatment given your high risk, you could consider either the PROTEUS trial at various US locations or the GUNS trial at various Canadian locations.

I had a similar situation. Age 59, Gleason 9, PSA of 9.6, no indication of spread by scan or digital, MRI, biopsy which collectively indicated only about 5% of the prostate was cancerous. So what to do. I wanted something more than just surgery since with high risk there is a not insignificant chance that some micromets have already escaped outside the prostate. Standard of Care points to radiation plus seeds plus 2-3 years of ADT for the best chance of a cure. But for various reasons I felt radiation would be harmful long term. So I went with an NIH trial of “intensive” ADT for six months (ADT plus newer T suppression agents) to get rid of any escaped micromets followed by surgery to get rid of the motherload. Doctor. The NIH trial is now closed but the PROTEUS and GUNS trials are similar and currently open. Very happy with the result. Now 4 years after surgery. No recurrence, fully continent, some ED but manageable, T fully recovered.

[Laguy01 in reply to Tony666]

Thanks for the info. My Bio was 9 out of 12 samples high,

[garyjp9]

Like j-o-h-n, I had multiple hernia surgeries before my RP. My surgeon made a big deal about them and warned he might be unable to complete the surgery. Two other surgeons said they presented no problem at all. I should have listened to them, but went with the one who raised all the concerns, and regretted it. But I believe the bowel resection surgery would present issues for you. Might be worth talking to another surgeon. But, like you, I would appreciate the candor of any surgeon who encourages me to get RT treatment instead of a RP. When you do talk to the RO, make sure you ask how he/she will handle the bowel situation.