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Hello, I’m generally a pretty healthy 63 year old. just found out that I have prostate cancer from my GP. I see the specialist next week. I’d like to be armed with information before talking to him. I moved to New Zealand from NYC 23 years ago where most use the public system, but if one has insurance or a lot of money private is available.
My biopsy read 2 (out of 12 cores) both with a 3+4 Gleason score. My PSA has been at 3.9 and 3.7. I have no family history of cancer. (Indeed most live fairly long – my mom a smoker until 93 live to 94,; my Dad also a smoker, who was 68 when I was born, lived to 80, and his sister 101.)
My question is: am I pretty much doomed to wearing diapers for the rest of my life with normal treatment? A friend, who also has PC (with slightly worse Gleason readings) insists that incontinence and impotency are almost inevitable. He’s been to support group where 18 out of 20 were still incontinent…though it could be a skewed group since the ones happy with treatment probably aren’t there. He won’t get treatment and is using Active Surveillance, a lot of exercise and a strict diet.
The publicly available treatment here in NZ are radiation and surgery. Brachytherapy may have recently been made available publicly, but I’m not sure. Nanoknife surgery is available privately.
I'm pretty active. I exercise every day and go tot the gym in early retirement. Leakage could put a big damper on my life. Any suggestions?
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