The day before Christmas, my husband was diagnosed with PCa. Leading up to receiving the news, we had already assumed the worst as he was having blood in his urine. We were semi-prepared, as much as one can be. What we didn't expect is how high the Gleason score was to be.
We have spent the last week devouring all the information that we could, from this excellent site, reading Dr. Walsh's book as well as Invasion of the Prostate Snatcher, and many other web sites. Since the urologist gave us the news, my husband has had a bone and a CT scan (results to come 8 January). The urologist is also setting us up with an appointment with a radiation oncologist sometime in the near future.
I am still not totally familiar with the hieroglyphics that are included with signatures of some of the healingwell.com's posters but I have provided what I think is pertinent at this stage.
Although my husband has and continued to have cardiovascular disease, he is in pretty good shape with optimal weight, exercises regularly (including weight lifting) and is very disciplined wrt diet. Although I have read that there might be a link between heart disease and increased risk of PCa, I also have read that there seems to be a protective effect from taking statins, aspirin and having a good diet. By all accounts, he shouldn't have prostate cancer which only goes to show how statistics haven't much to do with the individual.
Given his history and age, we were surprised that the urologist recommended surgery. That doesn't seem to agree with anything that I have read, especially as we still don't know if it is have spread beyond the prostate. I realize that urologists, being surgeons, would have a natural bias towards surgery but he seemed very confident that the cancer was confined. Why he thought this will be one of my first questions when we see him again next week.
So, I am asking those on this forum who might have been in a similar situation and can provide some advice. We are keeping an
open mind at this stage on his choices and continue to read as much as we can. However, my husband has a natural bias AGAINST surgery, primarily because it took him forever to recover from his
open heart surgery and he doesn't believe that RP will be a walk in the park either.
He and I also agree that our priorities are quality of life. ED is the least of his concerns.
As we live in British Columbia, our health care system is significantly different than the American one, as it is government run. Unfortunately, most of the information that we have researched to date is mostly American (wrt hospitals/specialists) and wondered if there was anyone out there who can give a BC perspective (and specialists' recommendations).UPDATE January 2014
Uro still suggesting surgery but says that RT/HT will almost certainly be required. He readily admits that radiation onocologists will favour radiation and urologists will favour surgery, with much passionate debate amongst these physicians. Interestingly, he said that, even when diagnosed with PCa, more often than not, the uro will pick surgery and the RO will pick radiation. No wonder it is so difficult for us mortals to decide what treatment to choose.
Pendulum swung slightly back to surgery after seeing the uro because he definitely did a good selling job on us. Sober second thought has the pendulum swinging back towards radiation but we still haven't seen the RO, so don't yet have all the facts on which to make a final decison.
Husband age 71, triple bypass surgery 1999
Dx December 2013, PSA 12.8
6 cores of 10 positive: 2 G(5+3), 2 G(4+3), 1 G(3+4), 1 G(4+4) ;
All cores negative for extraprostatic extension/lumphovascular space invasion
UPDATE 10 January 2014
Bone/CT scan negative
Post Edited (French_Traveller) : 1/10/2014 1:10:06 PM (GMT-7)