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User
Posted 06 Jan 2015 at 08:33
Hi all just wanted little bit of info my dad is 66 and has been diagonsed 5week ago with prostrate cancer had bone scan all clear, went to see surgeon who said could operste to remove prostrate , then went see oncolgist se felt prostrate and said its starting come out prostrate, which was shock as 4 week before it was containted , he has two options radio therapy or sugery , only probem with sugergy is the after affects he is very woried and self concious about this.also he has other health problems to so choice make get taken out his hands when get results of his pre op next week .he had gleason score of 7, with 7 out the 12 biopsies having cancer in them thanks for readig.
User
Posted 06 Jan 2015 at 10:45

Hi Sandyg34,

Welcome to the board!

If you haven't done so already, I can thoroughly recommend downloading (or requesting) the "toolkit" on this site. This is a collection of fact sheets that give plenty of information about the disease itself, the various treatment options (there are more than two, and many flavours, both of prostate removal and radiotherapy), the probable side effects and how long they are likely to last.

You'll find that picking the 'right' treatment will depend on how far the cancer has advanced, the general heath of your father and the potential side effects he is willing to put up with post treatment.

You mention the oncologist saying the cancer has started to breakout of the prostate. This could just be a "bowing" of the capsule. Has your father had an MRI scan?  Also do you know the results of his latest PSA test, both of which can point the way to choosing the "right treatment".

If you have any specific questions you'll find there are plenty of people on this site who will be able help, both commenting on treatment options, the side effects and aftercare.

Flexi

 

 

 

 

User
Posted 06 Jan 2015 at 13:27

Hi

DRE is subjective so be don’t be too alarmed about being deemed all OK 4 weeks but not now. RT is normally tolerated well, but some have a harder time. The intensity of side effects of HT also varies. However as regards potential success of RT/HT treatment, as can be seen from my profile I’m here 10 years after diagnosis. .

Good Luck with your treatment choice.

Ray

User
Posted 06 Jan 2015 at 18:45

The pre-op assessment should be stringent. Mine was the most stringent medical check I've ever had !

So you might be correct in that the decision may well be made by that.

User
Posted 07 Jan 2015 at 13:17
Hi Sandyg34

I was diagnosed with locally advanced prostate cancer in January 2013 and it had come outside of the prostate. Have a look at my profile to see what can be done for your dad. Hope reading that it will encourage you

Arthur

User
Posted 07 Jan 2015 at 19:28

Hi Sandyg34

When the tumour is in contact with the prostate capsule sometimes your consultant cannot say for definite whether it is pushing into the capsule or it has, or is about to break through the capsule. In my case the tumour was hard and knobbly - apologies for being scientific here. Due to its location it could have been either a stage T2 or a T3. I was treated as a Stage T3 to avoid taking any chances about a later spread. This did not matter too much because the position of the tumour meant is was inoperable but not untreatable so there was no option but to have HT and RT. All of this was over 14 years ago and with excellent onco and uro teams to manage the side effects and two bio chemical relapses I am now off HT again and on my 3rd "hormone holiday". See my profile.

I hope this is helpful.

Alan

Edited by member 07 Jan 2015 at 20:05  | Reason: Not specified

User
Posted 10 Jan 2015 at 22:50

Sandy

 

The facts of the matter are that surgery and RT are both effective at curing this disease with equal results. The side effects though are quite different with surgery more likely to lead to incontinence and impotence. The side effects of RT depend a lot on the equipment used with modern IMRT machines causing the least damage. The bottom line is that the survival rates are equal so choosing one over the other is a personal choice that will not affect the outcome. My own oncologist would never recommend a G7 to have surgery but there again he is an RT specialist. Personally, I am incurable but I wish you and your dad the best http://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-wink.gif

Edited by member 10 Jan 2015 at 22:52  | Reason: Not specified

Nil desperandum

Allister

User
Posted 13 Jan 2015 at 13:22

Sandy

I was Gleason 7 and 10/12 samples positive I had Da Vinci surgery in April 2014, my incontinence lasted 4 days, some on this site did better, some are not as good. Next PSA test next week, but so far 0.03

ED is still an issue but despite non nerve sparring things are happening.

I have had to have 2 Bladder neck stretches but the flow rates are looking good now.

I was back at work after four weeks.

We are all different and there are no guarantees.

 

Best wishes to your dad.

 

Thanks Chris

User
Posted 04 Mar 2015 at 19:08
Hi all dad had the op 3 week ago and since he has been in continent snd is steuggling with this but main thing is the op went ok just waiting till 1 st april for psa results and biopsy results so fingers crossed thanks all
User
Posted 04 Mar 2015 at 23:16

11 months post op, I'm down from 5/6 pads per day to only needing 1, which easily does the job. Keep patient, do the pfe's and stay patient. If you aren't on free pads, get to you GP asap.

Good luck

Paul

Stay Calm And Carry On.
Show Most Thanked Posts
User
Posted 06 Jan 2015 at 10:45

Hi Sandyg34,

Welcome to the board!

If you haven't done so already, I can thoroughly recommend downloading (or requesting) the "toolkit" on this site. This is a collection of fact sheets that give plenty of information about the disease itself, the various treatment options (there are more than two, and many flavours, both of prostate removal and radiotherapy), the probable side effects and how long they are likely to last.

You'll find that picking the 'right' treatment will depend on how far the cancer has advanced, the general heath of your father and the potential side effects he is willing to put up with post treatment.

You mention the oncologist saying the cancer has started to breakout of the prostate. This could just be a "bowing" of the capsule. Has your father had an MRI scan?  Also do you know the results of his latest PSA test, both of which can point the way to choosing the "right treatment".

If you have any specific questions you'll find there are plenty of people on this site who will be able help, both commenting on treatment options, the side effects and aftercare.

Flexi

 

 

 

 

User
Posted 06 Jan 2015 at 13:27

Hi

DRE is subjective so be don’t be too alarmed about being deemed all OK 4 weeks but not now. RT is normally tolerated well, but some have a harder time. The intensity of side effects of HT also varies. However as regards potential success of RT/HT treatment, as can be seen from my profile I’m here 10 years after diagnosis. .

Good Luck with your treatment choice.

Ray

User
Posted 06 Jan 2015 at 18:45

The pre-op assessment should be stringent. Mine was the most stringent medical check I've ever had !

So you might be correct in that the decision may well be made by that.

User
Posted 07 Jan 2015 at 13:17
Hi Sandyg34

I was diagnosed with locally advanced prostate cancer in January 2013 and it had come outside of the prostate. Have a look at my profile to see what can be done for your dad. Hope reading that it will encourage you

Arthur

User
Posted 07 Jan 2015 at 19:28

Hi Sandyg34

When the tumour is in contact with the prostate capsule sometimes your consultant cannot say for definite whether it is pushing into the capsule or it has, or is about to break through the capsule. In my case the tumour was hard and knobbly - apologies for being scientific here. Due to its location it could have been either a stage T2 or a T3. I was treated as a Stage T3 to avoid taking any chances about a later spread. This did not matter too much because the position of the tumour meant is was inoperable but not untreatable so there was no option but to have HT and RT. All of this was over 14 years ago and with excellent onco and uro teams to manage the side effects and two bio chemical relapses I am now off HT again and on my 3rd "hormone holiday". See my profile.

I hope this is helpful.

Alan

Edited by member 07 Jan 2015 at 20:05  | Reason: Not specified

User
Posted 08 Jan 2015 at 17:46
To all that replied thank you very much my dad has really benefited from your comments and has now decicded if its possible he will be having op so thanks again
User
Posted 08 Jan 2015 at 21:28

Has he decided what sort of operation? Open surgery or robotic?

The stage of the cancer can only be "best-guesstimated" until the surgeon gets inside where one assessment may be made, and then again at pathology once the gland has been removed and analysed in a lab.

With any cancer there comes a point where it stops being contained and will break out and maybe spread. It sounds as though he is still at the possibly contained stage.

Surgery and outcomes continue to improve as surgeons become more experienced so he should be reassured that any of the consequences he may be concerned about are all only potential, not guaranteed.

We who have had the operation generally continue to make a good and steady recovery.

ATB

Dave

User
Posted 10 Jan 2015 at 21:30
Hi dave he is having robotic sugeey last time he saw oncologist she felt his prostrate and said it had large lump on right hand side which wasnt there at prior examination ,my dad just wants to have op now and is getting very frustrated now he is also sleeping alot more thanks
User
Posted 10 Jan 2015 at 22:50

Sandy

 

The facts of the matter are that surgery and RT are both effective at curing this disease with equal results. The side effects though are quite different with surgery more likely to lead to incontinence and impotence. The side effects of RT depend a lot on the equipment used with modern IMRT machines causing the least damage. The bottom line is that the survival rates are equal so choosing one over the other is a personal choice that will not affect the outcome. My own oncologist would never recommend a G7 to have surgery but there again he is an RT specialist. Personally, I am incurable but I wish you and your dad the best http://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-wink.gif

Edited by member 10 Jan 2015 at 22:52  | Reason: Not specified

Nil desperandum

Allister

User
Posted 13 Jan 2015 at 13:22

Sandy

I was Gleason 7 and 10/12 samples positive I had Da Vinci surgery in April 2014, my incontinence lasted 4 days, some on this site did better, some are not as good. Next PSA test next week, but so far 0.03

ED is still an issue but despite non nerve sparring things are happening.

I have had to have 2 Bladder neck stretches but the flow rates are looking good now.

I was back at work after four weeks.

We are all different and there are no guarantees.

 

Best wishes to your dad.

 

Thanks Chris

User
Posted 04 Mar 2015 at 19:08
Hi all dad had the op 3 week ago and since he has been in continent snd is steuggling with this but main thing is the op went ok just waiting till 1 st april for psa results and biopsy results so fingers crossed thanks all
User
Posted 04 Mar 2015 at 23:16

11 months post op, I'm down from 5/6 pads per day to only needing 1, which easily does the job. Keep patient, do the pfe's and stay patient. If you aren't on free pads, get to you GP asap.

Good luck

Paul

Stay Calm And Carry On.
 
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