In Treatment For Prostate Cancer

How do you choose prostate cancer treatment with Gleason 10?

When I was informed by the urologist I had prostate cancer in his office the day after my 65th birthday wasn't the worst news given me that day. Then I'm told the biopsy included a geason score of 10 and that 10 out 12 samples showed cancer cells existed in my prostate. My prostate was not enlarged and the PSA score was 4.6 though the MRI display a lump on my prostate. What made things more confusing to me after doing a PET scan two weeks later to help determined what stage the prostate cancer may be in the results showed no cancer existed at in the body at all. Only explanation given by the Urologist is that there are usually cases that when patient's prostate cancer cells don't display any cancer after the test is taken. That may sound like goods news but it's not. Now the doctors has no clue to what stage I'm in now. But according to geason score of 10 the highest score given that's is considered to be very aggressive by medical standards. I felt great at the time physically, which made this more the diagnoses awkward and unreal. If I knew of a word greater than panic I would use it once I was faced this scenario of the cancer situation. I cried like a new born baby. I felt like I needed a quick decision to choose a treatment therapy to address the prostate cancer I was diagnosed with. I'm single man with no girlfriend so I had no help to make a decision with a partner. My daughter wanted me to try hompathetic treatments where I declined. ChatGBT became the best source of information for me. I did consult wirh multiple different medical doctors about how to best treat the prostate cancer I had. The medical surgeon that does robitc surgeon tells me this is best with its pro and cons. The prostate cancer radiationolgis does the same pitch. After researching Brac radiation treatment therapy (radiation implant seeding one day surgery) which includes afterwards 22 week radiation session outside the body along with prostate cancer hormone treatment therapies. I was interested in prostate cancer cryotherapy therapy that freezes the prostate cancer to kill the cells. I found with cryotherapy treatment therapy that it was hard to find a medical institution that performed this treatment near where I lived.A doctor that performs the BRAC treatment therapy informed me if I choose the surgercal prostate removal I would still likely need the radiation treatment therapy also since the geason biopsy score was a 10 and the PET scan didn't determine what prostate cancer stage I maybe in. I was ask why go through both treatment therapies of removal, radiation and their difficult recoveries where doing the radiation treatment therapy alone would be simpler and sufficient for my situation. BRAC treatment therapy would help prevent the cancer too from spreading to the limpnodes in each hip then maybe bones along with doing hormone therapies. I had the BRAC treatment therapy performed. I did panic and made a quick decision on my prostate cancer treatment therapy. I also prayed the entire time to God the Father and still do. Giving Him the glory for the healing. I doing great physically, emotionally and Spiritually. I'm thanking God first and all medical personnel that provided the treatment.

Why didn't my doctor treat suspicious findings 10 years ago?

Can anyone tell me if your doctor seen something kinda fishy at least 10yrs before hand why wait take care of it then before it turns into something worse. So we don't have to go through this drastic situation. I feel like we could have started something then while we were younger before we have to remove everything. Feeling more pissed off the more I think about it I feel like they could have started something kinda treatment way earlier before it got to this point. Now one Doctor doesn't want to say anything about the Previous Doctor. Just wanted to see what you think 🤔 😕. I'm just thinking. What you Think 🤔

Will incontinence after robotic surgery get better? Need advice

I'm on my 3rd month from Robotics surgery. Some nights it feels like I can hold it not as wet. But when I am walking around during the day it starts leaking but I can't stop it just at the grocery store for no reason. It seems like it happens all the time me. Will it get better. Need some suggestions Thanks

Does incontinence after robotic prostate surgery get better?

Hello I am 60 and just had Robotics surgery 2 months ago in October. Still having leakage and a dam buttox rash. And Mentally. Just got my test results today PSA was zero but my leakage is still flowing. Does anyone have anything positive for me or any help what I can do because I am going crazy

Should I get the shingles vaccine after prostate cancer radiation?

I recommend everyone that have or had radiation get shingles vacine. I've had robotic removal of prostate(psa was 6.4) with 1 cancerous lymph node in May 2024, 35 days of radiation in Jan/Feb 2025, orgovyx started in June 2024 and now have shingles(nov 2025). After research, I found that many patients get shingles after radiation treatment unless you've had the vacine.

Are Lupron and Casodex killing my sex drive completely?

TeeJ I'm on Lupron every 4 months and taking Ealeada every night,but not having any sex or the urge too! Any going thru this? Holla

Has anyone had experience with proton beam and brachytherapy for Gleason 8?

Hi I'm a 69 year old male diagnosed in March, PSA of 7.7, my biopsy showed 4 lesions Gleason 8 & 7. I had no symptoms or prostate issues other than a sudden spike in my PSA which we had been monitoring for 15 years. I completed 38 proton beam radiation reatments in the month of July and August, I had a brachytherapy implant (radio active seed) completed a week and a half ago. Now I have a 3-month break I'll be going back to Sarasota Florida to the Dattoli Cancer Center from North Carolina to have a checkup done, CT scans and 10 more days of proton beam radiation treatments (20 minutes each at 1 per day) and then hopefully I'll be done. I've had zero side effects from this whole process, I've not even had any fatigue from the treatments. I'm very fortunate in that my cancer had not spread outside of the prostate area, I had extensive PSMA CT Pet scans done and was diagnosed to be cancer-free in the rest of my body. I praise the Lord and Dr Michael Dattoli and his staff in Sarasota Florida, they are absolutely the best on the planet! People travel from points all over the country and the world to Dr Dattoli for prostate cancer treatment. I can't say enough good things about the care that I received from the center and it's staff.

What are my options if radiation doesn't work after HIFU treatment?

Hi I had hifu treatment a little over a year ago. Psa was.o1or so was4.2 2 2 mouths ago geson score seven would like to do folcal and xteral . Doctor what's to take it out. What would be my options if radiation don't work

Is PSA rising from 0.05 to 0.07 after prostate surgery cause for concern?

Hi , my name is Jim, I had removal surgery 6 months ago, at 3 months PSA was 0.05, now at 6 months it is 0.07. Slightly up but up is not good. In anyone’s experience, Am I looking at further treatment , or active surveillance? I am meeting with doctor next week and want to have as much information as possible. Thank you, Jim

What should I expect during 28 radiation treatments while on hormone therapy?

I have been on hormone treatment for 45 days, starting radiation next Monday. 28 treatments 5 days a week . Any help what to except?