After attending an UsToo meeting this week, a guy came in that was recently diagnosed. His Gleason was 6 and his PSA barely above warning at 4.2. His doctors within a week were trying to hustle him straight to surgery. They gave him a week to start the scheduling and have an
I write this one as a vereran of the disease and this site. I have literally seen hundreds of new guys here, and many treatment modalities. I have seen some fast decisions and some guys who took their time, and carefully planned out their course. I was somewhere in between. Leaning towards planned out, but I still wanted the cancer out of my body as soon as possible.
When we are told we have cancer, we react. And I am now smart enough to tell all the new guys that knee jerk reactions are not common sense. The day of my diagnosis changed my life forever, thus it was important day number one. How it was going to change my life was still undetermined. From what I have learned in this experience is there is one advocate that will always be on your side ~ and that is you. Your next most important day will be the day you decide on what you will do about your prostate cancer.
Unless you have a Gleason 7-10 or a PSA over 20, you have plenty of time to decide. And even with any gleason or PSA you need to educate yourself about the disease. You need to know the treatment modalities, what their side effects are, and what you will do if they fail. By planning your road map, you will have peace of mind. By understanding prostate cancer you will have knowledge about what modality will best work for you.
There is one action I recommend in between the diagnosis and the decision ~ a second opinion. Any action you take will affect you for the rest of your life. As one urologist said to me, you are always at your best before treatments. Meaning that as well as I am with ED and incontinence today, is the best I can be after treatment and that's if things go extremely well. And no matter your modality ~ surgery, radiation, cryo, seeds, or watchful waiting ~ anything you do should be an educated decision.
As for the guy above? He had plenty of time to react. Even up to 6 months. He could enjoy the best of where is now and time to learn about treatment options and keet a close eye on the disease progression, and still go after the cure.
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
You can visit my Journey at:
Tony's Prostate Cancer InfoLink Page
Post Edited (TC-LasVegas) : 10/18/2008 10:42:54 AM (GMT-6)