radical prostatectomy yes or no

User

Posted 07 Jun 2018 at 09:13

Originally Posted by: Online Community Member

Why did they shave your stomach when retzius-sparing surgery goes through the perineum?

My recent Retzius-sparing surgery was carried out through my abdomen, and I have the still-stitched keyholes to prove it. Moreover, I was treated to a half-Brazilian manscaping, where the supra-pubic catheter tube emerges immediately above my penis to be removed on day 9. No wearing a painful urethral catheter for weeks for me!

Edited by member 07 Jun 2018 at 18:13 | Reason: Not specified

User

Posted 07 Jun 2018 at 10:01

Originally Posted by: Online Community Member

You need to know the staging too ie T1 T2 T3 etc. If it's T3 you may be better with RT if it's T1 or 2 surgery. Read up on your options and make sure you are happy with your decision and tge potential consequences/benefits.

strange, I’m 4:5 T2c and was told surgery was not an option as mine was 80% plus cancer And classed as aggressive

User

Posted 07 Jun 2018 at 11:56

Not an option in any circumstance or not the best / preffered option?

I believe the older you get the more attractive RT is and certainly if there is a high risk of local spread RT is preferred as it has effects that extend beyond the prostate.

Either way the stats say they are equally effective for long term remission.

User

Posted 07 Jun 2018 at 15:32

Hi Smyler had my op on 17th April operation went well and even fixed a fault with one of my kidneys now just waiting for my follow up next week hated the catheter as had to have it for two weeks because of the extra plumbing job it's just a nuisance although my biggest worry was having it taken out and being incontinent but was very pleased to have nearly full control on removal just the Ed to conquer now but remember we are not all the same recovery tends to vary for everyone all the best with your decision Steve

User

Posted 07 Jun 2018 at 18:30

Originally Posted by: Online Community Member

Not an option in any circumstance or not the best / preffered option?

I believe the older you get the more attractive RT is and certainly if there is a high risk of local spread RT is preferred as it has effects that extend beyond the prostate.

Either way the stats say they are equally effective for long term remission.

My Oncologist told me they would not offer me RP as an option. I’m 66

User

Posted 07 Jun 2018 at 19:18

Did you seek an opinion from a “leading” cancer surgeon such as those promoted in the Daily Mail and its ilk, or from other surgeons of repute with high volumes of RP and good outcomes?

It is often said that surgeons want to operate, likewise oncologists and radiologists tend to stick to their specialities.

I think you are entitled to a couple of second opinions on the NHS. It would be nice to know you have all viable options on the table before you elect for a particular treatment.

User

Posted 07 Jun 2018 at 19:37

I have the full confidence in the NHS team treating me. My treatment plan of 2 weeks Bicalutamide, Triptorelin IM injection, 2 more weeks Bicalutamide, then review at 8 weeks to check progress was what I agreed to. Then depending on results, External beam RT after 3 months Triptorelin.

i will know on the 21st June when my RT will start. Lyn tells me she has never known anyone who hasn’t gone on to RT. Then after 6 weeks RT I guess another review.

To be completely honest, Prostatectomy of any sort was not something I would have gone for.

Gleason score of 4:5 is high, but after 5 various scans my cancer is confined to the prostate and I have no Metastasis at all. So curative treatment was decided by an MDT to be best for me. I asked and was told the team comprised a surgeon as well as a Urologist and specialist nurses, so I trust their decision on my care. But on reading countless studies and case histories online I am satisfied and that’s the main thing.

thanks for the interest in my case

Edited by member 07 Jun 2018 at 19:39 | Reason: Spelling and grammar

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