So decisions decisions
Two consultations in. Both consultants agree we need to do something and all options are available.
So a Focal HIFU is on the table and today we met with the recommended surgeon for removing a treated prostate. He has removed all types of treated prostate except for A’s Focal Laser Ablation treated one. From the scan however he said A’s prostate was in the best shape of any treated prostate he had seen, other than the large area of atrophy from the ablation it looks normal apparently.
He is happy to remove it if that is what we decide but will still remove it after further focal treatment if necessary.
He uses neurosafe so would have it biopsied during the procedure which could lead to losing a nerve bundle if there was a positive margin.
He was very upfront about the risks and shared his stats.
So best to expect 1 pad a day is a good outcome
Best to expect loss of length ( but use of pump can resolve this apparently)
Pills will be needed- good outcome
Injections can be used if outcome not so good
A’s orgasm is already dry but after a RP he could organism urine.
Nothing we didn’t know from membership of this forum.
So very informative and experienced but A not sure he is ready to give up his prostate.
So may be headed for another focal treatment - could be a HIFU. We discussed risk of fistula and were told 1/900 but not on her watch.
Due to discuss repeat FLA as our final consult but a decision has to be made.
Recovery from this biopsy has been a walk in park compared to the first. No bruising or passing / orgasming blood this time. Same procedure, different consultant. Not sure why the difference in recovery.