Having recently been diagnosed with localised Prostrate Cancer I am interested in finding out about the impact and side effects of the treatment offered: Surgery (Radical Prostatectomy) OR Radiotherapy (External Beam) with Hormone Therapy (18 months - effectively 2+ years allowing time for testosterone to kick back in).
I've done a lot of reading about these treatments but much of the info, understandably, describes the full range of side effects that may occur. While I appreciate we are all different and the various side effects will impact upon each of us differently, I am trying to understand the likelihood of the different side effects in any treatment regime in order to reach a decision on which will be best, or rather least worse!
With surgery it would seem that ED and urinary problems are most likely. This is not great as wearing pads and tight fitting underpants or even a convene don't really fit with our naturist lifestyle! I have yet to speak to the Surgeon (telephone consultation scheduled for 26 November 2020) to ask about chance of saving nerve bundles.
The main issues from radiotherapy seem to be bowel problems and radiation cystitis for up to 12 weeks, along with ED & loss of libido, hot flushes and sweating, mood swings & poor mental health, weight gain and a whole host of other side effects from the hormone therapy, for two years. Not great either! But what is the likelihood of these occurring and for how long?
From reading some of your posts (thanks guys, and your partners, for sharing your experiences) staying fit with a daily walk for exercise, doing your pelvic floor muscle exercises and your penile rehab exercises, and staying positive are all essential. I agree! Walking daily but still trying to master the pelvic floor exercises at the moment and will ask for my penile rehab kit/tablets once I've decided on the treatment pathway!
Histology: Gleeson 7 (4+3). Stage T3. PSA 25. Together these have put me in the High Risk group. Cancer found in 7/7 biopsy cores (1@70%, 1@20%, 3@10%, 1@5% 1@<1%). Although described as localised it has crept into the seminal vesicles but otherwise no spread and Bone Scan was clear. Surgeon advised 50% chance of requiring additional treatment after surgery.
Would love to hear from anyone who can shed light on the 'probability' and issues I've highlighted.
UPDATE: Thanks for everyone's contributions, which were really helpful. Decided (on 28 Nov 2020) to go for the Hormone & Radiotherapy treatment as the side effects are possible or likely and of a temporary nature (except ED which is pretty much a dead cert and permanent, whichever treatment you have!). Surgery is pretty much a dead cert for ED, leakage (as a result of re-plumbing) and (in my case) needing additional treatment after surgery.
Edited by member 01 Dec 2020 at 18:42
| Reason: Providing update on status.