A "Radical" orchiectomy

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clocknut
Veteran Member


Date Joined Sep 2010
Total Posts : 2680
   Posted 3/3/2011 2:27 PM (GMT -6)   
I can't vouch for the truth of this story, but I received in this morning's email an account of an 81-year-old granny in Melbourne, Australia, who performed what I would call a really radical orchiectomy on two thugs who had carjacked and raped her young granddaughter. 
 
If true, I would say she not only got revenge, but perhaps inadvertently saved these two guys from the ravages of PCa later in life by lowering permanently their testosterone levels. 
 
She used the available evidence to track them to their hotel room and then used a handgun to shoot off their testicles!  Both survived, but one lost his testicles and his penis, the other lost testicles only. 
 
I wonder if the guys down in Australia have heard this tale?
 
I know that women who are genetically at risk for breast cancer sometimes have their breasts removed for preventive reasons.  I wonder if early castration will someday be proposed as a means of avoiding prostate cancer in those who may be genetically pre-disposed.
 
 

 

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 3/3/2011 2:39 PM (GMT -6)   
FALSE Story...
 
Analysis: Great story, without a shred of truth. The tale of "gun-toting granny" Ava Estelle of Melbourne, Australia began circulating via email in 2000, a couple of years after it was first published in the Weekly World News, an American tabloid famous for its entertaining though factually-challenged content.
 
But a good story none the less.

clocknut
Veteran Member


Date Joined Sep 2010
Total Posts : 2680
   Posted 3/3/2011 2:40 PM (GMT -6)   
I shoulda checked Snopes.com.
 
Thanks, Steve, for running this to ground. 

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 3/3/2011 2:43 PM (GMT -6)   
I don't think castration (of the voluntary kind!) will ever catch on. It carries the same side effects as ADT -- loss of libido, bone density and muscle tone.

Early prostate removal is a closer equivalent to breast removal and there could be a case for doing it early before the PCa appears, to have a better chance of preserving erections and continence.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4/12 cores
Non-nerve-sparing RRP 7 March 2008 age 63
Organ confined, neg margins. Gleason downgrade 4+4=8
Fully continent
Bimix worked well; now using just VED
PSA undetectable at first but now 0.4, doubling time 7 months
No radiation but ADT coming unless I can slow down the rise...

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 3/3/2011 2:45 PM (GMT -6)   
Clock,
I do know of a case, and there are a few I have come to learn, of a guy who had a prophylactic intervention with radical prostatectomy to avoid the fate of his uncles, father, and a brother. All who died of prostate cancer if I remember correctly. I was told about this by the surgeon who perform the RP.

As it was this patient had prostatitis that was affecting his QoL so other circumstances were involved. He already didn't have a healthy prostate but there was no cancer found after the RP and the patient was aware that this was not a main stream decision.

Just a note in my notebook...

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1100
   Posted 3/3/2011 3:29 PM (GMT -6)   
Regarding prophylactic prostatectomy, Dr. Catalona, on his website, addresses a question about this and says it is "not done."  But there are some places where it is at least discussed.  See, for example:   http://www.theroboticsurgeon.com/blog/genetics-and-inherited-prostate-cancer-risk/    I must say that, having seen my father die of prostate cancer, and being at high risk myself, this has occurred to me.  But instead I will just let things play out...  

Post Edited (medved) : 3/3/2011 1:59:04 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/3/2011 3:32 PM (GMT -6)   
I would think that any surgeon, at least here in the USA, would have a hard time getting any insurance to approve something that radical without direct proof of it being needed. Certainly wouldn't be a "normal' kind of vanity or elective surgery.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 3/3/2011 3:43 PM (GMT -6)   
Well guys,
Here is one of the founders of the InfoLink. This is a similar site to the New Prostate Cancer InfoLink. Dr. K has done RP for extreme prostatitis. Additionally he is the story teller from my case above. That patient is a member of this site:

prostatitis.ning.com/

Perhaps, Dr Catalona would frown upon it, but the patients are generally happy that they no longer have the prostatitis that has been a major source of discomfort for them. The one patient was told by several surgeons that RP was too extreme, however he also stated that prostates and his family has been a geriatric nightmare...

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 3/3/2011 11:38 PM (GMT -6)   
My wife's cousin's husband had his prostate removed last year due to prostatitis and he came up a triple winner. The pathology showed no PCa, no problem in saving the nerves, and he's living a better life now than he has in years. As Tony notes, he is a happy camper and feels the surgery was a small price to pay (actually "free" as he's covered by our health care system here in Canada) for his new found freedom from prostatitis.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010  less than 0.02
PSA on April 9, 2010 less than 0.02 
PSA on July 9, 2010 (one year) less than 0.02
  

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 3/4/2011 7:54 AM (GMT -6)   
I struggled with prostatitis for 15 years and can truthfully say that getting rid of it, via surgery, was one of the best benefits of having the RRP. Unless one has been there, they don't have any idea how uncomfortable and/or painful everyday life can be with it.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 12/10-.09, 02/11-.08
ED-total-Bimix 30cc
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