Why isn't the prostate always removed?

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Regular Member

Date Joined Jan 2009
Total Posts : 53
   Posted 1/12/2009 6:20 PM (GMT -6)   
Hi all,

I haven't gotten that far in my research. I would think that it would be beneficial in every case to take the darn thing out. Don't cancer cells keep spreading from it or is it (the prostate) so far gone by that point that it can't hurt you any more than it already has?

Thanks for info on this and thanks again to everyone who responded yesterday. It really got me out of my depression.


Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 1/12/2009 6:37 PM (GMT -6)   
Mike I to wondered about this prior to my surgery. Then it was explained to me that once it spread there was no benefit to removing it so why put you through the side effects of incontinence. I actually had this exact situation happen. During surgery a lymph node disection was performed it came back positive in three nodes and the surgery was aborted. I support this thinking however there are doctors that say there is benefit to removing it. I say it is a personal decision. Hope this helps.

peace and love
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .06
Testosterone keeps rising, the current number is 156, up from 57 in May
cancer in 4 of 6 cores

Elite Member

Date Joined Oct 2008
Total Posts : 25380
   Posted 1/12/2009 6:48 PM (GMT -6)   
Mike, the way Dale just described is exactly what my own dr/surgeon told me when I asked that question early on. If the PC is contained within the prostate, then obviously in most case it makes best sense to remove the entire gland so that it can't spread. Hope you are feeling better about things.

David in SC
Age 56, 56 at DX
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
Open RP surgery  November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32.  Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08.  After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/9/9 - pre-op, 1/13/9 - corrective operation scheduled at St. Francis
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes.
First PSA Post Surgery  Scheduled now for 2/9/9

Regular Member

Date Joined Jan 2009
Total Posts : 53
   Posted 1/12/2009 6:57 PM (GMT -6)   
Thanks David. The support I got last night was incredible. I felt so much better as I was reading and responding to posts. There is a lot of love and caring here.


Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 1/12/2009 7:00 PM (GMT -6)   
Well there is more compelling evidence to remove a prostate in later stages, now. We had this discussion just the other day about debulking a tumor. But it isn't just debulking anymore, evidence is showing that removing a prostate can help delay the onset of refractory disease. Refractory means, Mike, that the cancer no longer reponds to hormone therapy. But, you still need more information, and get that pathology report and post the facts about that tumor. We'll point you to some good reading.


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:

Regular Member

Date Joined Jan 2009
Total Posts : 53
   Posted 1/12/2009 7:02 PM (GMT -6)   
Thanks, Tony. Will do


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