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1st stage prostate cancer: to operate or not?

Posted 01 Jul 2021 at 10:02

56 years diagnosed with 1st stage prostate cancer.

Consulted 3 doctors.
1. One said to operate.
2. Second said not to operate and keep observing.
3. Third said you can operate OR keep observing.

So 50/50 split.

What would you do?

How to reach the right conclusion?

Are there ways to prevent further development of cancer?

Hard to evaluate risk/reward in this case and looking for help.

Also, what are your thoughts and experience with Da Vinci surgical system?


59M, Gleason 4+3, PSA7.8, T2C.

DaVinci Surgery or HDR Brachytherapy+EBRT or Cyberknife(SBRT)?

Posted 01 Jul 2021 at 15:14

Been in a very similar position-have a look at my profile.

I'd want to know the Gleason score and where it is in the prostate before making a choice

Posted 01 Jul 2021 at 16:44
It would help if you gave a better description. First stage doesn’t really mean a lot tbh. Is it T1 ? Do you know PSA result and trend ? Gleason score ? I may be one of the more negative people on here but I had surgery at 48 and am now incurable at 54. Make sure you download the ‘ toolkit’ from the publications section and do speak to the nurses on here for free. They are excellent. My advice for what it’s worth is to do as little as necessary for as long as possible, as there is zero way out of this disease without life changing side effects both mental and physical. All men struggle in different ways. It’s one thing being cancer free ( if there is such a thing ) , but then maybe being impotent for the rest of your life :-(.

If life gives you lemons , then make lemonade

Posted 01 Jul 2021 at 17:04

We need more information from you to help if we can.

How were you diagnosed? What was your PSA level on diagnosis? What was the result of your MRI scan (if you had one)? You had a biopsy, what was the result of that, culminating in a Gleason score, in the form of a+c=x.

Tell us that and we can go on.

Cheers, John.

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