newly diagnosed - advice appreciated

 While prostate cancer is often slow to progress in older men, surgery can have significant side effects — such as the possibility of lifelong erectile dysfunction or chronic urinary incontinence. Though the procedure might differ according to the patient and case. Though consulting for some more prostate cancer treatment options in New York(http://advancedradiationcenters.com/cancer/prostate-cancer/ ) should be beneficial. try to have a brief discussion with the oncologist, so that you can take a decision positively. Though other prostate cancer treatment options are radiation therapy, immunotherapy or proton therapy.

Hi willie93634,  I just had my prostate surgery 7 days ago.  Out of the 12 cores taken for my biopsy, only 1 showed positive for cancer.  My urologist also suggested surgery because of the aggressiveness of the cancer.  However he did go over all my other options.  There is a test to show how aggressive his cancer is.  Once that is known then you should go over all your options.  Good luck

Update:  Saw the radiation oncologist yesterday.  Indicated that while the biopsy results suggest low grade, based on the volume, rise in PSA and my age, it is considered intermediate.  He recommended robotic surgery based on this criteria.  See the surgeon tomorrow.  So looks like a bit of a journey for the next few months....

First step is to take a deep breath and consider the options before making a decision you might later regret. Time is very much on your side; the word cancer strikes fear into most people and they often act irrationally. Firstly, look at survival rates which should put your mind at ease. Then, do research - there are plenty of good books out there and websites - I found prostatediaries useful as it is by an American urologist who was diagnosed with the disease. It gives excellent tips on which form of treatment would suit your husband. You should also evaluate other results - PSA (doubling time, reading), DRE findings etc., PIRADS score.

​I opted for IMRT (in the UK) and I am pleased with the outcome. Please read the comments of those who chose RP.

​I wish you all the best.

Hello again

More confused than ever. On Monday the radiation oncologist says must be treated recommends surgery. Today see the surgeon who says "surgery will be needed at some point may be 3 years from now but let's do MRI. If you think you want the surgery I will do it." So now what?? Feeling worse now then when first diagnosed with the contradictory messages.

I have had 6 years on Active Surveillance and would still be on it, but I got Prostatitis so bad that the prostate has swollen and regularly blocks my passage of water. In 11 weeks am having Prostate removed by Robotic surgery. Just take your time and research and study the best way to go, I found in the early days you get everything thrown at you and you can easily make a quick and maybe wrong decision.  Good luck with your decision making.

David

If that was me, I'd be on active waiting and getting my psa test every year.

Surgery is the wrong option