I'm afraid surgery will really mess these two problems of mine up much worse. Your thoughts? For now both problems aren't that big of a deal, wife is fine with missionary only. So in one sense, I would lean towards radiation or proton, as I'm afraid surgery will complicate my "issues" further and will leave me very incontenant and impotent, on the other hand surgery provides a path report and final stats, and age is a factor too, I'm 54. said...
What I did when I was diagnosed about 14-months ago was to put first the removal/treatment of the cancer, and everything else came second, third, etc., because a longer and healthier life was/is the most important thing to me - not ED or incontenence.
Here are my questions. I have a HMO (Blue Shiled), can I go out of network to be evaluated by a top urologist and perhaps be treated? I'm not certain how that works if I'm in an HMO. What if I wanted to get Proton treatment? Can I be covered? said...
What does your plan allow? First read the plan and if it isn't clear give Blue Cross Blue Shield - or your company's benefits administrator (if you're still working) a call to ask the question. I'm supposing that when you go out of network the benefit levels change and doing so will cost you a bit more money, but if doing so is possible it's probably worth it - if that's something you want to do. What advice have you received from your primary care physician?
Best wishes for a successful treatment of your prostate cancer.
Age: 60 (58 at diagnosis - June, 2008)
April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior
June '08 had biopsy, 2 days later told results positive but in less than 1% of sample
Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days
Dr. recommended robotic removal using da Vinci
Northwestern Memorial Hospital, Chicago, IL
Dr. Robert Nadler, Urologist/Surgeon
Post-op Gleason's: 3+3, Tertiary 4
Bladder & Urethral: Free
Seminal vesicles: Not involved
Lymphatic/Vascular Invasion: Not involved
Tumor: T2c; Location: Bilateral; Volume: 20%
Catheter: Removed 12-days after surgery
Incontinent: Yes (1/2 light pads per day)
Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08
Returned to work 9-29-08 (18-19 days post-op)
PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0