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Regular Member

Date Joined May 2011
Total Posts : 20
   Posted 5/23/2011 11:22 AM (GMT -6)   
new member,joy. age 51
psa 5.7
gleason 3+4
6of 12
is it a consensus that someone my age and numbers have surgery? thats what docs are telling me. I'm married 27 yrs. would like to [use willy and thinking long term]    this forum is great and yall [ i'm Texan] are unbelievable, I hope you are blessed for being able to help so many in such a time as this. Really like what moderator says about becoming a better man .Plan to do that but hard to think that way right now after just being diagnosed.

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4110
   Posted 5/23/2011 11:29 AM (GMT -6)   
Mowman, Welcome to HW. We are neighbors i'm inn Louisiana. Your a young guy for this for sure. I was 57 when I got the call. I did the surgery. Now is the time for you to do your homework only you and your wife can make the decision as to which road to travel. I am 2 years and 7 months out from my surgery and for the most port I am a happy camper. I never had the leaking problem but I did battle with the ED stuff and at 2 years things starting looking up.. :) I'm not what I was before.

I have a couple of young guys that had surgery that I know and they are back in the swing of things without any assistance. I think your age may be a benifit for you.

My Dr also said surgery is the way to go. But he did the surgery so he was thinking of his pocket as well.

If you have specific question do not hesitate to ask them. Nothing is too personal here.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
2 year PSA <0.1
Only issue at this time is ED but getting better

Veteran Member

Date Joined Feb 2010
Total Posts : 3836
   Posted 5/23/2011 11:32 AM (GMT -6)   
>>is it a consensus that someone my age and numbers have surgery?<<
the majority of guys here have had surgery so most will recommend that you do the same.  our numbers are similar and i opted for combination therapy (no surgery) because the odds were surgery would not cure me.  good luck to you and welcome!
age: 56
PSA on 12/09: 6.8
gleason 3+4 = 7
received 3rd and last lupron shot 9/14/10
2/8/11 PSA <.1, T= 6 ng/dl

Regular Member

Date Joined Feb 2010
Total Posts : 385
   Posted 5/23/2011 11:33 AM (GMT -6)   
I don't think there is any such thing as a consensus, but most people with your statistics do have surgery. If you do, the main way to reduce the severity and risk of post surgical complications such as ED and urinary incontinence is to find the best surgeon that you can. The surgeon's skill matters a lot. There is no evidence that robotic surgery has a lower risk of these complications that the standard open surgery, but the perforning surgeon does.

There are a variety of radiation treatments that you can investigate as an alternative.

Veteran Member

Date Joined Jul 2010
Total Posts : 3784
   Posted 5/23/2011 11:42 AM (GMT -6)   
Surgery is the old "Gold Standard", that's for sure..But you have other choices..One form of radiation treatment in particular, HDR Brachytherapy combined with IGRT is rapidly proving itself as a superior form of treatment..

It's cure rate equals or surpasses surgery and when performed by experts, the side-effects are less...

Pick up a copy of Gerald Chodak's book, "Winning the Fight against PC" to get a good, unbiased, look at all the treatments available...Patrick Walsh's book, "Guide to surviving PC" is very good also, but Pat is a surgeon and it shows a little..
Age 68.
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0

Veteran Member

Date Joined Sep 2010
Total Posts : 2670
   Posted 5/23/2011 11:46 AM (GMT -6)   
I pretty much agree with what Cajun Jeff said.  You need to study your various treatment possibilities and decide which one will work best for  you.
I just hope you'll always keep in mind that priority one is curing the cancer.  Keeping Willy working may seem important, but in the greater scheme of things it's a much, much lesser priority.  So, if you're really thinking "long term," just be sure that all of your decisions are guided by the number one priority of eliminating the cancer.  All else is secondary.
I realize this is a case of a 65-year-old talking to a 51-year-old, but you have even more life to preserve than I do, so go with what promises the best outcome and which promises the best chances for a long and happy life.  Tomorrow is never guaranteed to any of us, but we do what we can to improve out odds.  Best of luck to you.
Age 65
Dx in June 2010.
PSA gradually rising for 3 years to 6.2
Biopsy confirmed cancer in 6 of 12 cores, all on left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays negative.
DaVinci 8/20/10
Negative margins; negative seminal vesicles
5 brothers, ages 52-67 ; I'm the only one with PCa
Continence OK after 7 weeks. ED continues.
PSA 1/3/10: 0.01

Regular Member

Date Joined May 2011
Total Posts : 20
   Posted 5/23/2011 11:48 AM (GMT -6)   
wow how prompt, you guys are better than a brother.

Regular Member

Date Joined May 2011
Total Posts : 326
   Posted 5/23/2011 12:06 PM (GMT -6)   
Mowman, sorry you had to join us but this is a great group of guys you've found here. I was in a real panic and just wanted it cut out ASAP and in less than three weeks that is what I did. People here willl caution you not to rush to a decision and they are right. Learn all you can and formulate the best plan for you. My priorities changed drastically once the reality of my particular situation sunk in. Clocknut said it well. Living quickly became my #1 priority so I picked the treatment that gave the best odds of doing that. The rest can be dealt with. Best of luck to you in making the best decision possible for you.
Age 53-PSA 8/10 3.0 PSA 2/11 3.5
4/15/11 BX
4/21/11 Path Report: 3 of 12 Left side PCa , 3+3, 3+4, 4+4
4/29/11 PCa DX, Gleason-8
5/6/11 BS: Negative
5/18/11 open RP Performed
5/20/11 Home from Hospital
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