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Prostate Cancer And Gay Men
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Newly diagnosed with Prostate Cancer

I am a 54 year old married gay man with two daughters. I was recently diagnosed with prostate cancer with a Gleason 3+4=7. Hoping to get some feedback on others experience with treatments and dealing with cancer in general.

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How many positive cores?

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Two cores

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Then your risk group is "favorable intermediate," which means that you have a high probability of being cured by SBRT, brachytherapy, or surgery. No need for hormone therapy or combination treatments. You have plenty of time to meet with doctors and decide, Where are you located?

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Read, read, and talk to people. Lots of books available, and lots of choices.

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First, everyone is different and whatever you choose will be right.

I learned of my prostate cancer when I was 57 with a PSA score of 4.6. The biopsy indicated 2 cores with Gleason 3+3 cancer. Less than 3 months post biopsy, on 3-8-17 my prostate was removed by Dr. Lee at the University of Pennsylvania (5000+ procedures). 20 hours post surgery I was on my way home with a Rx for pain relief (it was never filled as Tylenol was all Ineeded). I had my first erection while the catheter was still in place and stopped using urine pads 6 weeks post surgery. Today the six small scars on my belly and lack of semen are the only differences in my life. I asked my surgeon why I did so well and he explained I was “young and fit”.” I was neither 57 years old and 30lbs overweight).

Everyone is different, but this has been my experience. Good luck with your decision making!

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Sorry for the diagnosis.

Some things that I found helpful: learn as much as you can - from reading, videos, etc. Read Patrick Walsh's "Surviving Prostate Cancer;" good explanation of what may lie ahead - from active surveillance to surgery to radiation. Don't be shy about getting second and third opinions from urologists, radiation oncologists, and medical oncologists. Ask questions and get complete responses that you understand. No medical mumbo jumbo allowed. Oh, and log onto the National Comprehensive Cancer Network - they have the latest recommendations regarding treatment; they match diagnosis to treatment options.

Btw, I went from AS to treatment over 7 yrs. Treatments included hormones (UGH), external beam (25 of those), and brachytherapy (39 seeds). Treatment procedures were not the issue for me; it's the side effects. The side effects are powerful and long lasting; hormones have been the worst for me.

Good luck to you.

EdinBaltimore

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Thank you so much. I truly appreciate you sharing treatment and what to expect.

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Hey DMV, I too am married with 2 daughters. %2 years old here. Had Radical Prostatectomy back in August and will most likely be starting HT and RT soon. My experience is that I did not experience much incontinence post surgery. I wore thin pads for about a month and a half and now I get little leakage every now and then when at gym. I started sexual rehab with Dr. Mulhall at Memorial Sloane Kettering back in November, and it seems to be working. Much of my concern lies with side affects of coming treatments, so I am exploring all my options. Glad you found us and remember you are not alone on this journey!

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Dream, what is sexual rehab? I watched the Dr Mulhall utube video and called my urologist. I was basically referred to the men’s health clinic for injections. Is there more to the rehab besides Cialis and injections?

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Hey Boston, Dr. Mulhall has a book on sexual rehabilitation. It is basically the use it or lose it theory. He suggests 2-3 times a week that the penis should be getting ton full erection to avoid atrophy.

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That makes sense and I’m glad I was doing this on my own... I’m hoping the injections will make it easier

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Here’s a video of Dr Muhall. mskcc.org/videos/penile-reh...

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Hi DMV, Reiterating what others have already mentioned, there are lots of options available and you should look into all of them before making a treatment choice. If you go to a surgeon they are most likely to recommend surgery, but you should ask about a radiology approach and also what other options are available and then decide on the treatment choice with which you will be most comfortable.

Wishing you a great outcome whatever your decision!

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