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Newly diagnosed, scared wife posting

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User
Posted 27 Feb 2025 at 20:26

Hi, my husband was told today that his biopsy results showed cancer that is contained in the prostate. They want to take the prostate out along with the surrounding tissue. My question is - should he be expecting to have radiotherapy as well? Is it enough to just take the prostate? Thanks for your time, my husband is 49

User
Posted 27 Feb 2025 at 21:48

Hi Clare,


Its difficult to comment without knowing more about your husbands diagnosis, but normally if you have surgery the hope is that you will not need radiotherapy. However, if they don’t get all the cancer during the Op and his PSA is not undetectable after the Op, he might require SRT(Salvage RadioTherapy) and also HT (Hormone Therapy)


if you can, it would be helpful if you could upload more details about your husbands diagnosis into his profile.


Good luck on your journey.


Derek

User
Posted 27 Feb 2025 at 22:42
If he was likely to require radiotherapy after prostatectomy it is more likely they would have recommended up front radiotherapy and not suggested prostatectomy.

Prostatectomy alone is usually only recommended if the grade is T2 or less. If it is T3a the may recommend prostatectomy OR radiotherapy, if it's T3b or more then they will usually NOT recommend prostatectomy.

Suggest reading up on stages and treatment options ready for the next consultation so you can be an informed patient...Prostate cancer may be slow growing in most cases but the treatments are pretty brutal for relatively young (and old!) men.
User
Posted 27 Feb 2025 at 23:08

Being 49 which is regarded as relatively young in PCa terms, I am not surprised that if his diagnosis calls for it, he has been recommended Surgery. However, some men who don't want surgery are also offered RT, almost always accompanied by Hormone Treatment which can go on for circa 18-24 months. Apart from the treatment itself, there are side effects and pros and cons for each type of treatment. From the little information we have, we can deduce that his Cancer is believed to be Prostate contained. Were this not the case he would have been steered towards RT instead. treatment results are usually good these days but if it is subsequently found to have gone beyond beyond the Prostate, or widely so, there is RT back up.


I agree with what other posters have replied and suggest you read or download The Tool Kit which gives basic information about the disease and various treatments open to suitable men. https://shop.prostatecanceruk.org//our-publications/all-publications/tool-kit?limit=100


 

Edited by member 27 Feb 2025 at 23:09  | Reason: to highlight link

Barry
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User
Posted 27 Feb 2025 at 21:48

Hi Clare,


Its difficult to comment without knowing more about your husbands diagnosis, but normally if you have surgery the hope is that you will not need radiotherapy. However, if they don’t get all the cancer during the Op and his PSA is not undetectable after the Op, he might require SRT(Salvage RadioTherapy) and also HT (Hormone Therapy)


if you can, it would be helpful if you could upload more details about your husbands diagnosis into his profile.


Good luck on your journey.


Derek

User
Posted 27 Feb 2025 at 22:42
If he was likely to require radiotherapy after prostatectomy it is more likely they would have recommended up front radiotherapy and not suggested prostatectomy.

Prostatectomy alone is usually only recommended if the grade is T2 or less. If it is T3a the may recommend prostatectomy OR radiotherapy, if it's T3b or more then they will usually NOT recommend prostatectomy.

Suggest reading up on stages and treatment options ready for the next consultation so you can be an informed patient...Prostate cancer may be slow growing in most cases but the treatments are pretty brutal for relatively young (and old!) men.
User
Posted 27 Feb 2025 at 23:08

Being 49 which is regarded as relatively young in PCa terms, I am not surprised that if his diagnosis calls for it, he has been recommended Surgery. However, some men who don't want surgery are also offered RT, almost always accompanied by Hormone Treatment which can go on for circa 18-24 months. Apart from the treatment itself, there are side effects and pros and cons for each type of treatment. From the little information we have, we can deduce that his Cancer is believed to be Prostate contained. Were this not the case he would have been steered towards RT instead. treatment results are usually good these days but if it is subsequently found to have gone beyond beyond the Prostate, or widely so, there is RT back up.


I agree with what other posters have replied and suggest you read or download The Tool Kit which gives basic information about the disease and various treatments open to suitable men. https://shop.prostatecanceruk.org//our-publications/all-publications/tool-kit?limit=100


 

Edited by member 27 Feb 2025 at 23:09  | Reason: to highlight link

Barry
 
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