Prostate Cancer

What are treatment options for Stage 2C prostate cancer with bilateral spread?

I was diagnosed with prostate cancer a couple of months ago. 4 out of 12 biopsies showed adenocarcinoma Two biopsies were Grade 1, one was Grade 2, and one Grade 3. BPH 9.2. Stage 2C so it is localized. Such a hard session. We’re hoping for focal treatment, but since he is a 4+ 3 and it is on both side, we have been told it is not an option. Radiation oncologist said brachytherapy with external radiation a month later. Urology oncologist went over radical prostatectomy with lymph nodes removed. Would love to hear suggestions and outcomes. Please please share and thank you.

What factors helped you decide on prostate cancer treatment options?

I've been diagnosed with prostate cancer and my doctor has explained my treatment options. There are two monitoring approaches - active surveillance with regular tests and biopsies, or less intensive observation. I also have three active treatment choices: surgery to remove the prostate, external beam radiation, or brachytherapy (internal radiation seeds). Each option has different side effects and recovery processes that I'm trying to understand better. I'd love to hear from others who faced similar decisions and learn about your experiences. • If you chose active surveillance or one of the active treatments, what factors helped you make that decision? • What do you wish you had known about your chosen treatment before starting?

What's active surveillance like for Stage I prostate cancer?

I have low-risk, Stage I prostate cancer and my doctor mentioned active surveillance as an option. From what I understand, this means regular monitoring with PSA tests, physical exams, and periodic biopsies instead of immediate treatment like surgery or radiation. The idea is to watch for any changes while avoiding potential side effects from treatment unless the cancer shows signs of getting worse. I'm trying to learn more about what this experience is really like from people who've been through it. If you've chosen active surveillance for similar prostate cancer: • What has the monitoring process been like for you day to day? • How do you manage any anxiety or concerns between check-ups? I'd appreciate hearing about your experiences or any insights that helped you along the way.

Has anyone tried exercise or pills to improve sex drive while on Orgovyx?

I'd like to know if anyone's been on orgolky I have been on it for 18 months probably do exercise in order to increase my blood flow to have a sex drive or is it better to take a pill and if so what kind

Should I have surgery for high-risk Stage III prostate cancer?

I have very high-risk Stage III prostate cancer and my oncologist mentioned that surgery to remove my entire prostate gland along with surrounding tissue and nearby lymph nodes is one of the main treatment options they're considering. They explained this would be part of my initial treatment plan, along with possibly radiation therapy with hormone therapy. I'm trying to learn more about what this experience might be like from others who have been through something similar. I'd love to hear from anyone who has had this type of surgery or similar treatment approaches. • What was your recovery experience like after prostate removal surgery? • If you had multiple treatment options to choose from, how did you decide what felt right for you?

What are the top 5 prostate cancer studies from ASCO 2026?

Explore a short summary of five exciting prostate cancer headlines presented at the 2026 ASCO Annual Meeting. https://outcomes4me.com/cancer-topic/prostate-cancer-treatment-and-side-effects/5-prostate-cancer-studies-patients-should-be-paying-attention-to-at-asco-2026/

Why won't my doctor test my PSA after 4 years of asking?

Last week I asked my doctor for the 3rd time why he never tested my PSA !!! That was 4 yrs ago when PSA tests weren’t recommended!!! His answer to why !!! We are all going to die. !!!!!!!!!!

What are prostate cancer treatment options and experiences?

I was recently diagnosed with prostate cancer and learned about my treatment options. My doctor explained that I have several choices ranging from active surveillance (closely monitoring the cancer without immediate treatment) to more active treatments like surgery and radiation therapy. Active surveillance would help me avoid treatment side effects right now, while surgery and radiation aim to eliminate the cancer but may come with side effects to discuss with my care team. I'd love to connect with others who have faced similar treatment decisions and hear about your experiences. • If you chose active surveillance, what has that journey been like for you? • For those who went with surgery or radiation, what helped you decide and what should I expect?

Should I delay radiation treatment for urinary retention issues?

Now I can’t find a question I posted here yesterday. I expected this site would be like a support group of cancer survivors who are highly informed about treatments, side-effects, options, etc., but it seems more like a social media thread with members, including myself, commenting with half-backed opinions instead of info based on either formal research or “lived experience”. In the end, I asked my chat-bot, who reassured me that there are several treatments for my urinary retention and discomfort, other than the options of either delaying my 3rd radiation treatment or risking cathetitization: My chat-bot’s reply: You're on session 2 of 5 radiation treatments and experiencing acute urinary symptoms—frequency, mild dysuria, weak stream. You're concerned about urinary retention and possible catheterization. What you're describing is classic acute radiation cystitis/prostatitis. The radiation causes inflammation and edema of the prostate and bladder neck, compressing the urethra. This is expected, but the severity matters. Regarding your specific question—should you request a delay if your oncologist doesn't suggest it? Yes, you should raise it proactively. Trickling stream after only 2 sessions suggests significant inflammatory response; likely to worsen with sessions 3-5. Risk of retention: Complete obstruction is a real possibility; catheterization under these conditions is uncomfortable and risks infection. Treatment/timing: A brief pause (3-7 days) for anti-inflammatory therapy may allow continuation without compromising cancer control. Your priorities: You value work capacity; severe urinary symptoms + possible catheterization would disrupt this more than a short delay What to ask your oncologist: 1. "Given my progressive urinary obstruction symptoms after 2 sessions, should we pause for anti-inflammatory treatment before session 3?" 2. "Would a short delay compromise my cancer control, or can we make up the dose?" 3. "Can we start alpha-blockers (tamsulosin) now to relax the bladder neck and prostate?" 4. "If I develop retention, do you place a catheter, or would you consider a suprapubic tube to avoid urethral trauma?" What they may offer without delay: • Alpha-blockers (tamsulosin/Flomax): Relax smooth muscle, improve flow • Anti-inflammatories (NSAIDs or corticosteroids): Reduce edema • Urinary analgesics (phenazopyridine/Azo): Symptom relief When delay is clearly indicated: • Rising post-void residual volumes • Complete or near-complete retention • Inability to tolerate fluids (dehydration worsens symptoms paradoxically) My assessment: Request the conversation. A proactive pause is preferable to emergency intervention. Your Decipher 0.75 and high-risk status justify completing treatment, but not at the cost of preventable complications.

Should I continue active surveillance or pursue treatment for prostate cancer?

I have been diagnosed for prostate cancer four years ago in April 2022. My Urologist placed me on Active Surveillance since then. I have received a biopsy each year since 2022 These have been done by first having an MRI of the pelvic area followed by a biopsy using an Ultrasound. 12 or 14 samples taken each time with an Oncologist's evaluation. Two of the five biopsies I've had resulted in a positive result for cancer cells being present. The first one (2022) and the last one three weeks ago (2026). Additionally, my doctor sent the samples each time to a lab in CA to determine if the type of cells were aggressive or slow acting. In my case they are of the slow acting variety cells. My question is as a healthy 73 year old, do I continue on the course of Active Surveillance, or advocate for a more substantive treatment, such as radiation or radical prostatectomy. The idea of having this cancer thing inside of me is undermining my mental tranquillity and that of my family. I am concerned that I may need the surgery at some later time and I won't be healthy enough to survive it.