Originally Posted by: Online Community MemberJonM,
Surgery does offer a cure (as does radiotherapy) if the cancer is contained within the prostate, which yours is likely to be. However, "chopping it out" is no guarantee unfortunately, and you will need to be monitored for many years (by PSA test).
As all treatments come with life-changing side effects, it's important to get to the bottom of why they are offering you only surgery and at this time. Asking "Why" five times usually helps getting to the root cause, i.e. ask "why" each time the nurse responds to your question.
Flexi
Hi JonM,
It is important to get as much information at this stage, but it needs to be accurate. All treatments DO NOT necessarily come with life-changing side effects, as stated above. It can be difficult to be absolutely clear and accurate with few words on a forum, and therein lies the problem. Unless clarity is given, or correction offered you might go away scare witless of the life changing side effects that are supposedly guaranteed with some treatment options.
So, what are the potential side effects of surgery?
1. Potentially death on the table. A remote chance but still a possibility. I was warned about this.
2. Urinary incontinence, a possibility. Some recover full control eventually, some quicker than others. The younger people on here seem to make quick recoveries if they are going to make that gain. Others regain partial control, some no control. Nothing is guaranteed. I was warned about this.
3. Faecial incontinence is also a possibility. I do not know of anyone who has suffered this, I have never read about it here, but it is warned about prior to surgery. Was for me anyway.
4. Loss of erectile function is also a possibility, the younger members here seem to make the better recovery, not all sadly. Some of us old blokes, I was 56 at my op date, have made a pretty good recovery, thankfully.
As well as the physical side effects you may also wish to consider the mental side effects of surgery or not going for surgery, or watching and waiting or whatever you decide to go for?
For some the option to "get it out as soon as possible, come what may" is the only option. Understandable in my view. Others are happy to go form less intrusive options such as Brachy, Chemo Radiotherapy etc. What will your mind tolerate?
Apparently, most of the treatment options offer the same chances of longer term success, so I read here.
Only you can make your choice as only you will have to live with the consequences, hopefully for many many years to come.
Important though, to make that choice on the best most accurate information, because once you make that choice and start it, second chances can be limited.
atb
dave