What would you do?
radation - 85.7% - 6 votes
prostatectomy - 14.3% - 1 votes
McAttack
New Member
Joined : Mar 2024
Posts : 4
Posted 3/25/2024 9:02 PM (GMT 0)
Latest MRI guided biopsy revealed a G8 after HIFU procedure 2 yrs ago
Referred for radiation consult
now must decide for radiation vs prostatectomy
Advise please
JNF
Veteran Member
Joined : Dec 2010
Posts : 5986
Posted 3/25/2024 10:13 PM (GMT 0)
Well we know that radiation is very effective with limited side effects, most always less significant than surgery. G8 makes you high risk and about 35% of high risk surgeries fail and then require salvage radiation, a situation you should avoid as that is usually the most significant treatment induced side effects. Since you had HIFU, that may pose an issue with surgery. When you consult with a surgeon make sure it is someone that has experience with HIFU patients.
I was high risk and used HDR brachytherapy with IMRT external beam radiation and ADT. 13 years later I continue to be cancer free and have no negative treatment induced side effects. All my plumbing works just fine.
Mumbo
Veteran Member
Joined : Nov 2018
Posts : 2608
Posted 3/25/2024 10:49 PM (GMT 0)
Hello McAttack - What is your age and PSA history? Any urination or other prostate related issues?
No one wants either treatment if they had a choice so it is the lessor of evils to some extent. Surgery appeals to some, RT to others. The main thing is to do your own homework and meet with an experienced prostate surgeon and radiation oncologist. Consider multiple radiation oncologists if you want to explore different types of radiation as not all offer methods. Consider seeing a well respected institution for additional treatment opinions.
I had surgery and radiation, my diagnosis got more serious after surgery findings so I chose to add preventive adjuvant radiation. Radiation was easier. Will let you know in 10 years if it worked.
McAttack
New Member
Joined : Mar 2024
Posts : 4
Posted 3/26/2024 12:05 AM (GMT 0)
working on yr 71
PSA initially 4 in 2018,staying in 5\6 range, initally down to 3 after hifu
hit 7 early 2024, resulting in latest biopsy
little to no ED, some polyuria and nocturia
McAttack
New Member
Joined : Mar 2024
Posts : 4
Posted 3/26/2024 12:47 AM (GMT 0)
working on yr 71
PSA initially 4 in 2018,staying in 5\6 range, initally down to 3 after hifu
hit 7 early 2024, resulting in latest biopsy
little to no ED, some polyuria and nocturia
Pratoman
Forum Moderator
Joined : Nov 2012
Posts : 9890
Posted 3/26/2024 2:48 AM (GMT 0)
McAttack, welcome to the forum. I agree with Mumbo's comments 100%. Wha Is right for one man is not right for others. You need to do your own research, and then make your decision based on your own priorities and values.
I did not answer the poll question, for the reason stated above. If you educate yourself, and make your decision based on your research, you won't likely have treatment regret if things don't go well. Hopefully though, they will go well.
Posted 3/26/2024 8:15 AM (GMT 0)
Mc, Some solid histories already posted on this thread weighing experiences with both radiation and surgery as initial responses. As noted, it is a personal decision. I would add one thought. There is not much quit in a Gleason 8. It is one tough nut. That said, I am a G8, and have been dealing with PCa since 2009. Still here. That is the good news. The bad, in my case at least, is that the disease never could have been said to be “cured.” Just managed, just pushed back more than once. Think of it as a marathon, one that offers more effective and numerous subsequent treatment options, if needed, than when my fight began in 2009. Best wishes… Bill