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Prostatectomy
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Are we doing enough?
Brief history: Gleason 7 T2 in 2010, da vinci
prostatectomy
, then no further treatment. A slow rise (ignored by the urologist) saw psa get to 1.4 and a pmsa pet scan identifying a spinal met. Treatment has been radiation to the met and three monthly injection of Zoladex.
Brief history: Gleason 7 T2 in 2010, da vinci
prostatectomy
, then no further treatment. A slow rise (ignored by the urologist) saw psa get to 1.4 and a pmsa pet scan identifying a spinal met. Treatment has been radiation to the met and three monthly injection of Zoladex.
Mish80
in
Advanced Prostate Cancer
4 years ago
Combined EBRT and Brachytherapy vs Radical Prostatectomy With Adjuvant Radiation Therapy for Prostate Cancer
TAKE-HOME MESSAGE •While existing studies have shown better oncologic outcomes with external beam radiation therapy with brachytherapy boost compared with radical
prostatectomy
, there have been limited data regarding combination radiation therapy versus
prostatectomy
with adjuvant radiation.
TAKE-HOME MESSAGE •While existing studies have shown better oncologic outcomes with external beam radiation therapy with brachytherapy boost compared with radical
prostatectomy
, there have been limited data regarding combination radiation therapy versus
prostatectomy
with adjuvant radiation.
Balsam01
in
Advanced Prostate Cancer
4 years ago
Question about Medicare Part D Choice
Treatments have included radical
prostatectomy
(July 2017), adjuvant radiation, and 2 years of Lupron. (Final Lupron shot was Oct. 2019). So far PSA has been undetectable. I don't know what the PSA will be after the Lupron wears off, possibly in mid 2020.
Treatments have included radical
prostatectomy
(July 2017), adjuvant radiation, and 2 years of Lupron. (Final Lupron shot was Oct. 2019). So far PSA has been undetectable. I don't know what the PSA will be after the Lupron wears off, possibly in mid 2020.
Zork1
in
Advanced Prostate Cancer
4 years ago
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Urinary Retention after Prostatectomy
I had robot assisted
prostatectomy
this past summer with severe urinary blockage following removal of catheter one week from surgery date. Ended up in emergency room and was re-catheterized for an additional week. Surgeon said it was likely inflammation that caused the blockage.
I had robot assisted
prostatectomy
this past summer with severe urinary blockage following removal of catheter one week from surgery date. Ended up in emergency room and was re-catheterized for an additional week. Surgeon said it was likely inflammation that caused the blockage.
Dan087
in
Prostate Cancer Network
4 years ago
Has anyone got cured by Salvage radiation?
My ex had
prostatectomy
and then his PSA never went down to 0 and rose from 0.2 to 0.5 he is having salvage radiation fright now. I hope he gets cured.
My ex had
prostatectomy
and then his PSA never went down to 0 and rose from 0.2 to 0.5 he is having salvage radiation fright now. I hope he gets cured.
Choice125
in
Prostate Cancer Network
4 years ago
Salvage Radiation chances of cure, please share
My ex had
prostatectomy
and then his PSA never went down to 0 and rose from 0.2 to 0.5 he is having salvage radiation fright now. I hope he gets cured.
My ex had
prostatectomy
and then his PSA never went down to 0 and rose from 0.2 to 0.5 he is having salvage radiation fright now. I hope he gets cured.
Choice125
in
Advanced Prostate Cancer
4 years ago
Two weeks post RP
Today marks two weeks post
prostatectomy
. I have my first follow up appointment tomorrow where the doc will remove my Foley. The first few days were rough. There was significant pain, but the opiates helped a lot.
Today marks two weeks post
prostatectomy
. I have my first follow up appointment tomorrow where the doc will remove my Foley. The first few days were rough. There was significant pain, but the opiates helped a lot.
jaybojammer
in
Prostate Cancer Network
4 years ago
Radium-223 Treatment in Castration-Resistant Bone Metastatic Prostate Cancer
These data suggest that those with prior
prostatectomy
fare better with 223Ra treatment than those without prior
prostatectomy
, a finding that requires validation but may enhance our knowledge of prognosis and improve clinical decision-making." https://www.practiceupdate.com/C/91081/56?
These data suggest that those with prior
prostatectomy
fare better with 223Ra treatment than those without prior
prostatectomy
, a finding that requires validation but may enhance our knowledge of prognosis and improve clinical decision-making." https://www.practiceupdate.com/C/91081/56?
snoraste
in
Advanced Prostate Cancer
5 years ago
Survival Outcomes of Radical Prostatectomy vs EBRT in Prostate Cancer Patients With Gleason Score 9–10 at Biopsy
Therefore, cancer-specific mortality (CSM) rates after radical
prostatectomy
(RP) ± adjuvant radiation therapy (aRT) vs. external beam radiation therapy (EBRT) were tested.
Therefore, cancer-specific mortality (CSM) rates after radical
prostatectomy
(RP) ± adjuvant radiation therapy (aRT) vs. external beam radiation therapy (EBRT) were tested.
Balsam01
in
Advanced Prostate Cancer
4 years ago
Minor but steady rise in PCA, recurrence?
Post chemo, salvage radiation,
prostatectomy
and currently on 4 tabs enzalutamide daily,zoledronic 3 monthly, eligard 6 monthly. The PSA seems to be rising <.01, .01,.013,.02 and now .03 in consecutive months. Doctor has asked to monitor another two months and then go for psma pet scan.
Post chemo, salvage radiation,
prostatectomy
and currently on 4 tabs enzalutamide daily,zoledronic 3 monthly, eligard 6 monthly. The PSA seems to be rising <.01, .01,.013,.02 and now .03 in consecutive months. Doctor has asked to monitor another two months and then go for psma pet scan.
caretkr
in
Advanced Prostate Cancer
4 years ago
Radium-223 Treatment in Castration-Resistant Bone Metastatic Prostate Cancer
•These data suggest that those with prior
prostatectomy
fare better with 223Ra treatment than those without prior
prostatectomy
, a finding that requires validation but may enhance our knowledge of prognosis and improve clinical decision-making.
•These data suggest that those with prior
prostatectomy
fare better with 223Ra treatment than those without prior
prostatectomy
, a finding that requires validation but may enhance our knowledge of prognosis and improve clinical decision-making.
Balsam01
in
Advanced Prostate Cancer
4 years ago
Almost three years in with oligometastatic PCa. Guidance welcome --- are we doing all we should?
- Would a
prostatectomy
prolong life? At a higher quality than he'd have otherwise? (husband is reluctant to have it and doc is neutral). Should we pursue a second opinion at MD Anderson or Sloane-Kettering at this point? Somewhere else?
- Would a
prostatectomy
prolong life? At a higher quality than he'd have otherwise? (husband is reluctant to have it and doc is neutral). Should we pursue a second opinion at MD Anderson or Sloane-Kettering at this point? Somewhere else?
TNCanuck
in
Advanced Prostate Cancer
4 years ago
Good so far!
I was diagnosed Dec. 2005, had
prostatectomy
Feb 2006. Was undetectable for several years but psa started to rise. When it got to 5.0, had radiation for 7 weeks. Was good for couple of years, then after gallium 68 test, found mastastis lymph nodes. More radiation coupled with Zytiga and pregnizone.
I was diagnosed Dec. 2005, had
prostatectomy
Feb 2006. Was undetectable for several years but psa started to rise. When it got to 5.0, had radiation for 7 weeks. Was good for couple of years, then after gallium 68 test, found mastastis lymph nodes. More radiation coupled with Zytiga and pregnizone.
Hidden
in
Prostate Cancer Network
5 years ago
Worried about my PSA result..
I am 59 years old and I underwent
prostatectomy
last Feb. of 2018. My preoperative gleason score is 6 but the postoperative score based on Pathology report is 3+4 = 7. My first PSA after one month was .13 then after 6 months goes down to .03 then. 04 and last Sept. 2019 was .06.
I am 59 years old and I underwent
prostatectomy
last Feb. of 2018. My preoperative gleason score is 6 but the postoperative score based on Pathology report is 3+4 = 7. My first PSA after one month was .13 then after 6 months goes down to .03 then. 04 and last Sept. 2019 was .06.
santosjr59
in
Prostate Cancer Network
5 years ago
Advice for men who are about to start hormone treatment for metastatic prostate cancer?
I had a
prostatectomy
in 2011, with follow-up 6 month hormone treatment and adjuvent radiation treatment of the prostate bed because my margins weren't clear and there was seminal vesicle invasion. My PSA was "undetectable" until 2017, when it gradually started rising situation.
I had a
prostatectomy
in 2011, with follow-up 6 month hormone treatment and adjuvent radiation treatment of the prostate bed because my margins weren't clear and there was seminal vesicle invasion. My PSA was "undetectable" until 2017, when it gradually started rising situation.
silver5
in
Advanced Prostate Cancer
4 years ago
LU 177 and ACT 225 - Trip to Germany looking likely
Diagnosed in January, 2011 - PSA 18, Gleason 9 Radical
Prostatectomy
, lymph node involvement Salvage Radiation in 2011 ADT since diagnosis Provenge in 2016 (best estimate) SBRT radiation to lymph nodes in chest, 2018 PSA steadily rising for the past 7 years but has taken off in the past 10 months, 11.59
Diagnosed in January, 2011 - PSA 18, Gleason 9 Radical
Prostatectomy
, lymph node involvement Salvage Radiation in 2011 ADT since diagnosis Provenge in 2016 (best estimate) SBRT radiation to lymph nodes in chest, 2018 PSA steadily rising for the past 7 years but has taken off in the past 10 months, 11.59
WhiteStrat
in
Advanced Prostate Cancer
4 years ago
Impact of Cerebrovascular Disease on Survival Benefits from Local Treatment in Patients with De Novo Metastatic Hormone-Sensitive PCa.
Patients were stratified according to prior CVD history and the type of initial treatment: androgen-deprivation therapy (ADT) alone versus local treatment consisting of radical
prostatectomy
(RP) or radiation therapy (RT) with ADT, with or without metastasis-directed therapy.
Patients were stratified according to prior CVD history and the type of initial treatment: androgen-deprivation therapy (ADT) alone versus local treatment consisting of radical
prostatectomy
(RP) or radiation therapy (RT) with ADT, with or without metastasis-directed therapy.
pjoshea13
in
Advanced Prostate Cancer
4 years ago
Short-Term ADT Combined With Radiotherapy as Salvage Treatment After Radical Prostatectomy
TAKE-HOME MESSAGE •This phase III trial was designed to evaluate the benefit of short-term androgen-deprivation therapy (ADT) with radiotherapy for salvage treatment after radical
prostatectomy
.
TAKE-HOME MESSAGE •This phase III trial was designed to evaluate the benefit of short-term androgen-deprivation therapy (ADT) with radiotherapy for salvage treatment after radical
prostatectomy
.
Balsam01
in
Advanced Prostate Cancer
4 years ago
Perineurial invasion with stage 2 prostate cancer
Not sure his recommendations but I think the radical
prostatectomy
would be my best option. Any thoughts?
Not sure his recommendations but I think the radical
prostatectomy
would be my best option. Any thoughts?
Hondo555
in
Prostate Cancer Network
5 years ago
SIU 2019 - Athens [Oct 17-20]
These were of particular interest to me: 1] "Debate: Does Radical
Prostatectomy
Have a Role in the Management of Oligomets?"
These were of particular interest to me: 1] "Debate: Does Radical
Prostatectomy
Have a Role in the Management of Oligomets?"
pjoshea13
in
Advanced Prostate Cancer
5 years ago
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