Cryosurgery questions.

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Annonyman
New Member


Date Joined Feb 2010
Total Posts : 1
   Posted 2/4/2010 6:51 PM (GMT -6)   
Hello, I have recently been diagnosed with prostate cancer. I am in my early 70s and my doctor has recommended cryosurgery. The person who is doing the procedure is Dr. Stephen Scionti. in I am interested in knowing if anyone has had this procedure and what are the short term and long term results and/or side effects of said procedure.

Any information would be appreciated.

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4223
   Posted 2/4/2010 10:00 PM (GMT -6)   
PeteG on the USTOO forum used Dr Sconti for his cyrosurgery and was very pleased; you may want to contact him through that site.
The biggest downside to cryosurgery is the high incidence of impotance.
You may also want to investigate external radiation or seeding; it is a good idea to get several opinions from doctors in different fields before you make a decision.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT

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