Hello, mate.
I'm very sorry that you've had to join 'the club', but welcome to the forum.
Your diagnosis isn't bad, prostate confirmed low grade cancer. What is your PSA?
Sometimes, Gleason 7 (3+4) patients can be offered active surveilance. Were you given AS as a treatment option?
I didn't have your particular heart disease but I had badly blocked arteries which put my fitness for RARP in doubt. My surgeon and aneathetist both had concerns. Apparently you are put in a Trendelenburg position during surgery, where your head is 15-30 lower than your feet, this exerts extra pressure on the heart.
Despite their worries, I still wanted surgery. I contacted my cardiology consultant, who told them in his opinion, I was fit for surgery. They eventually agreed.
I had the op, it was completely unproblematic. However, only two months later, I had a heart attack. I ended up in hospital for a couple of weeks. They unblocked two of the arteries (rotablation) and stents fitted (angioplasty). I'm fine now.
As regards SABR, I believe it can be done without hormone therapy. In fact, had it been an option to me, I'd have taken it.
So, if I were you, I'd be asking, am I eligible for active surveillance? Are you sure my heart condition rules out surgery? Can I have SABR without HT?
Once those questions are answered, I'd then decide which treatment would suit me best.
Here's an excellent presentation on all treatment options and their possible side effects.
https://youtu.be/zYTU94-8pTc?si=1Z29_l8rbTwF6DHl
I wish you luck with whatever you chose.👍
Edited by member 07 Oct 2025 at 23:00
| Reason: Typo