I did not consider targeted focal therapy, but I have a concern with any treatment that leaves "healthy" prostate tissue. I welcome differing opinions on this. My concern stems from the fact that prostate cancer tends to be "multi-focal", cropping up in several locations at once. Dr. Walsh states that the average number of PCa tumors within post-surgery pathology is SEVEN. It may be that something triggers DNA mutation across the entire prostate, leaving healthy tissue close to becoming cancerous (just my theory). Any treatment that leaves damaged but noncancerous tissue could be opening up the chance for cancer recurrence in the future. Again, this is my opinion, but I would want to understand this potential thoroughly before considering the targeted therapy.
BTW, although strange, I have gotten use to the dry orgasms and still enjoy sex very much.
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
Difficult surgery due to prostate inflammation.
Both nerve bundles spared.
Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
Final pathology: neg margins, no capsular penetration,
Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07 First usable erection with Cialis
11/22/07 Thanksgiving - Bye-bye, pads
01/17/08 First post-surgery PSA result: < 0.008 ng/ml
03/17/08 Erection quality mostly back to pre-surgery levels with Cialis;
have not tried without meds yet.
04/23/08 Second post-surgery PSA result: < 0.008 ng/ml
07/30/08 Third PSA: 0.01 ng/ml
11/04/08 One year PSA: 0.01
Still taking 10mg Cialis every other day - enjoying the results
too much to stop yet.
02/07/09 Taking 5mg Cialis every other day - having too much fun to try
to stop for now.
03/23/09 PSA: 0.02