I was diagnosed and treated last year at age 41. 38 is really young (youngest I've seen on this site). Sorry that you have to deal with this.
My stats were pretty similar to yours. Normal DRE, PSA 9, Gleason 7.
Everyone (including radiation/seeds specialists) told me to go with surgery. There is almost no data on the very long-term outcomes of radiation/seeds. You and I should hope to live another 40-50 years, or so. Because most guys treated with radiation/seeds are already in their 60s, their natural life expectancy doesn't extend another 40-50 years. Therefore, there is basically no data for guys like us to use in deciding whether radiation/seeds is a good option. Also, young guys usually recover well from surgery. For all of these reasons, I went with surgery and am glad that I did. More info in my "Introduction" and "Plan" links below.
I strongly recommend you visit the links in my signature below. You'll find very important information. I especially recommend that you read Dr. Mulhall's book before
choosing a treatment option, so you understand clearly the implications of your treatment choice on your short-term and long-term sexual health.
Feel free to contact me via email (envelope link to the left) if you want to ask any questions privately.
Diagnosed and treated in 2013 at 41 years old.
DX 1/28/13 (PSA 9; BX G3+4, 5 of 12 cores). RALP 4/3/13 w/ Dr. Tewari.
Nerves spared, T2c, N0, G4+3, tumor 10%, organ confined, -margins, -EPE, -SVI, +PNI.
Full continence. PSA undetectable.
ED rehab (bimix+pills) and Peyronie's treatment w/ Dr. Mulhall.
/ Surgery Recap
/ Pathology Report
/ PSA History
I recommend these links:
- NCCN Prostate Cancer online book
(PDF download version
- Questions to ask a Robotic PCa surgeon
and/or a Brachytherapy radiation seeds specialist
- Dr. John Mulhall's excellent book
and YouTube videos (I
) on ED due to PCa treatment
- What you should know about Peyronie's Disease
Post Edited (gedman) : 7/26/2014 8:31:20 PM (GMT-6)