Surgery vs. HT/RT alone

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New Member

Date Joined Nov 2007
Total Posts : 1
   Posted 11/11/2007 10:28 AM (GMT -6)   
I've recently been disagnosed with PC.  Gleason 9; PSA 4.17;
clear bone scan and MRI.  T2a   Age:  70
Local doctor suggested DaVinci prostatectomy and then I went to Johns Hopkins and Dr. Jon Jarow strongly supported hormone treatment with 8 weeks of radiation and no surgery.  My wife and I are going crazy researching the pros and cons of both methods and looked at most of the chat rooms here.  Our dilemna:  It seems that most men of high Gleason score (7 or more) do surgery and then afterwards have to go to HT/RT.  At this point, I'm leaning toward going directly to HT/RT and passing by surgery.  The only thing I think surgery does is give the doc an opportunity to look inside and really tell how far the cancer has spread.  I would like to maintain as much of my active life style as possible and don't really want to risk the incontinence issues for a man my age with surgery.  I believe going to HT/RT would maintain continence and still provide me with a reasonable success rate for cure.  Any comments would be greatly appreciated? 

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 11/11/2007 11:46 AM (GMT -6)   

  tongue   Hi ~ DustyD & Loved Ones…


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Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 11/11/2007 11:53 AM (GMT -6)   

   tongue    Hi  ~ dustyd & Loved Ones,


I know we can “all” make “Your Journey” smoother ~ just by being here for you!  

Thank you for reaching out!!! 


You’ve just made your own journey a lot smoother.  There are a lot of Helping Hands here… and just by reaching out like you did ~ you will have a much easier time.  We’ve been where you are now…. Knowing you aren’t alone… makes a big difference in psyche and spirit.


We will always be here for you… This is truly a great forum!!! ~ You have joined! You are now part our forum family ~ a group of wonderful individuals who are so willing to share their journey with you!  Please take time to follow the link in your Welcome Message above… it will help to ease some of the unknowns…


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Your decision will be the right decision for you!!!



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v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

3rd PSA 08-07-2007 Less than 0.1 Non-Detectable :)

Veteran Member

Date Joined Oct 2006
Total Posts : 626
   Posted 11/11/2007 2:32 PM (GMT -6)   

If I was your age and with your diagnosis I woud also look closely at HT/RT. There are a lot of men our there that have done that and live a normal life.

Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07
Began injections in April '07
Undetectable PSA on 6/25/07

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 11/11/2007 2:52 PM (GMT -6)   
if you are healthy then I might suggest surgery then the other two. Though I would not be any more correct than anybody else. I have read that those with high risk disease do better if the prostate is removed than not. My understanding is that most cases where the disease is hormone refractory, not responding to the hormone therapy, has the refraction begin in the prostate most often. But I certainly can see HT then RT within a month. Good luck in your decision. You are a good candidate to read a book by Snuffy Myers "Beating Prostate Cancer: Hormonal Therapy and Diet. You might want to get it before your decision as it specifically speaks to your situation.

Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology was poor: Gleason 4+3=7, 4 positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
My PSA did drop out after surgery to undetectable.  It has not returned and I will continue HT until January '08.
My Life is supported very well by family and friends like you all.

Veteran Member

Date Joined Nov 2006
Total Posts : 1464
   Posted 11/11/2007 8:07 PM (GMT -6)   
Hey Dustyd,

Sorry you have to be here but this is the best place for support and information.

I was 72 when diagnosed with gleason 3+3 and PSA 7.1. I chose to have surgery in order to know exactly what the extent of the cancer was. I had no incontinence and was dry the day after the catheter came out. I use Viagra and penile injections to fight the ED. There is life after surgery even for old guys like us...

Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2C. Gleason 3+4. Cancer confined to prostate.
PSAs from  1/3/07 - 10/17/07 0.00. 
Started Tri-Mix on 8/7/07.  .05 ml and 50 mg Viagra.  It works!!!
Next PSA test on 1/15/08
"Patience is essential, attitude is everything."

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 11/11/2007 8:41 PM (GMT -6)   
Hey ~ dustyd,
Check out this link... in reference to  TC-LasVegas /Tony's posting above

BOOKS... Recommended by Forum Members


            and make sure you check out Biker90 /Jim's threads and many others to help you find what options you have and what's going to be best for you!!!  Clicking on the Welcome New Member's link above will help you get a quick start!! In Friendship ~ Lee & Buddy





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