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Posted 12/25/2009 7:18 AM (GMT 0)
what do i do .Originally looked at radical then heard about hifu but we first thought we could zap bits to help preserve erections but template biopsy revealed more extensive cancer on both sides .now considering brachy. my main thought is to retain erections as i am lucky and have a younge wife.Are there any web sites that show outcomes of different treatments?.Happy christmas to one and all barry
Posted 12/25/2009 2:19 PM (GMT 0)
BCC, here's a link to an article published in 2007 about ED and seeds...according to the article, ED can occur with seeds but it may take a few years. Looks like a bit more research is in order before you make your treatment decision.

I wish you well, and hope you'll stick around and keep us posted.
Posted 12/25/2009 3:38 PM (GMT 0)
Barry, you have Gleason 7 Prostate Cancer, you first concern should be to eliminate or contain the cancer, keeping your errections, while understandable important, should not be the deciding factor in your treatment choice. Just my opinion.

Keep researching, but look for what is best for the cancer.

David in SC
Posted 12/25/2009 3:52 PM (GMT 0)
Barry,

Try this link for an overall look at the various treatments and side effect outcomes. It has a pretty good study basis and large group. Quite a bit of information.

http://www.cancer.gov/cancertopics/factsheet/pcos

Sonny
Posted 12/25/2009 4:14 PM (GMT 0)
hi many thanks for all of your comments .good to be part of this forum as i have no help from my family as many of you do .mine is a lonely journy barry
Posted 12/25/2009 4:41 PM (GMT 0)
well, barry,

we will be happy to substitue for the family support you dont have. Please keep us posted and ask as many questions as you wish.

more than glad to assist you through your journey.

david in sc
Posted 12/25/2009 5:05 PM (GMT 0)
Barry,
I understand your concern about erections, but rest assured, you have to be in the mortuary before it is impossible to get an erection these days. You will need to be aggressive in ED treatment if you want to make sure you stay active. Even implants, while they are the last in the line, are hugely successful and men love them. Make sure you are around to have sex!
Paul
Posted 12/25/2009 6:28 PM (GMT 0)
Hi BCC,

Deal with getting rid of the cancer, There are more treatments for ED that you will have your young wife begging for a break. It should be low on your worry list.
Posted 12/25/2009 7:28 PM (GMT 0)
thank you all for your help and advice ithink i am going to just hit the radical route and look for the best in the world .any names please .kirby is the man i believe in the uk and a friend had a great outcome after treatment by mostyn in the u/s .any thoughts please barry ps just met some great guys on the slopes in chamonix france from the american army stationed in germany previously in irac good guys cheers barry
Posted 12/26/2009 11:50 AM (GMT 0)
Barry, just wanted to wish you luck in finding a surgeon in the UK. Stay with us as there is no better website for prostate cancer, and you will not only receive great advice but make wonderful friends here as well.

Where in the UK are you. My half sister lives in Manchester and a good friend (and my former boss) lives up in the Lake District but commutes periodically to London. I know the UK has nationalized healthcare so working with a doctor is different than in the U.S.
Posted 12/26/2009 12:01 PM (GMT 0)
Barry - Glad to see that you have made the decision to take the radical route. Getting rid of the cancer is the first priority. Please keep us posted on your progress.

Skeener
Posted 12/26/2009 1:01 PM (GMT 0)
Barry,
Here is a link to another study. It compares Robotic vs. open for about 8000 cases. It shows that robotic surgery has shorter hospital stays and recovery time but higher incidence of ED and incontinence.
http://www.psa-rising.com/mednews/surgery/95-mirp-1109
(From an earlier post I made on this subject: "The study tracked surgeries performed from 2001 -2006 with 2 year follow up. open beat Robotic for incontinence and ED performance. Similar to what I have found here with my ~90 responses.
The results from our unscientific study here show that at 3 months you are 2.5x more likely to be wearing a pad if you had Robotic surgery. At one year, only Robotic patients were still wearing pads.
The good news is that at 3 months 67% are continent and at one year 91% are continent.
For my fellow three month leakers, 2/3 of us will be dry at one year. Don't give up."

Go to the real paper not just the summary to get the details.
As everyone has said, the priority should be cancer first then continence then ED. But if there is a treatment with the same success rate for cancer, why not select the one that gives the best rates for numbers 2 and 3 as well?
You will get plenty of support here. (Although we won't do your laundry or help change your overnight pee bags. Sorry, Pal. )
Good luck,
Jeff
Posted 12/26/2009 1:04 PM (GMT 0)
Only you have to weigh all the alternatives and make a decision as to what do I do????
Here is another possible choice, not saying it is the correct choice but there are  no guarantees with any choice, especially with some stats that are less than indolent looking. There are some people whom have gone this route, it also buys time for some period and that fluctuates by patient. Here is Rick K's protocol he chose:


Rick K. (Michigan) dx-(1995) psa 11.0 (2- pos. biopsies gleason 2+3's in each back then)
Uncommon treatment of ADT3 hormonal drug therapy for 13 months, quit, stayed on proscar only. Manhood and all functions back to normal within few months....fast forward (2009) his psa finally moved upwards so now he is doing another round of ADT3 for 13 months and will see outcome. Also, he can still do "all" treatments as to invasive or serious PCa protocols. So Rick had around 12 yrs. of being totally normal(after this second round possibly another round in maybe similar fashion) and yes his future is unknown, his choice and he is pleased with it. Just worth an observation in the world of PCa and various treatments.

Posted 12/26/2009 3:38 PM (GMT 0)
bcc, Good luck and do keep us posted as you go through this jounrey. The guys on her are great and always willing to help with info. We don't always agree but just offer different options. I made the decision on radical almost 15 months ago. So far I think it was the right decision for me. Was 57 at the time of surgery. I this point in my life I am a very happy man. Great famly and friends.

Take care and please keep us posted.

Jeff T
Cajun Country
Posted 12/27/2009 12:33 PM (GMT 0)
Barry,
Should you decide to have a meeting with the robot, I can give you some names in Switzerland. I was pleasantly surprised at the cost compared to what I hear about the USA. Of course, if you are a British citizen, that may not be a factor.
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