What factors helped you choose between prostate cancer treatments?

Choosing between prostate cancer treatments involves weighing many personal factors including cancer stage, overall health, age, lifestyle priorities, and how different side effects might impact quality of life. Many community members have found it helpful to discuss concerns about sexual function, urinary control, and recovery time with their medical team, while also considering getting a second opinion to feel more confident in their decision-making process.

I was diagnosed in 2012 and at the time my cancer was a advanced Gleason score was seven so I was advisor. Surgery was the best I went with radical nerve of sparing robotic surgery went well but they found that my Gleason score a jump to eight. At the time I was told you could only do radiation once so if you did surgery, you could still do radiation which was true today you can do radiation numerous times the surgery left me somewhat disappointed it affected my length however, my sexual function return after about five or six months however, a few years later, so did the cancer I had to do radiation and go on hormone therapy, which they prescribe eligard which was absolutely horrible worst year of my life, the side effects of that drug or horrendous anyways again three years later, my cancer, the cancer returned, and eventually they put me on hormones, which is Zitiga and Orgavoyx what are the side effects are much less and the results are good and eventually I had a problem with the Orgavoyx so now I’m just under Zitiga what’s my PSA still has been reducing my last reading was 0.024. Do a lot of research before you decide I personally if I had a second chance I would never have done the surgery.

I completely agree that weighing all those personal factors is crucial - and I'd also suggest asking your doctor about the learning curve at your specific treatment center, since experience levels can really make a difference in outcomes.

I had surgery and radiation. I am now on hormonal therapy.I am doing well so far. Everyone has a different reason for their choices. Do what you and your doctor thinks is best for you.

John you didn’t say what your Gleeson score or PSA cause that always is a big determining factor on how to proceed cause sometimes the doctors over prescribe as a precaution for stopping the cancer or eliminating if they can it was out they’re a real concern for life’s pleasures. It’s always good to be extra precaution, but you have to weigh the pros in the cons and sometimes even if you go on the not so safe route there’s other avenues that are always coming that can address the issue successfully.

My PSA was .57 when I had the surgery. After surgery, it was .1. after a few months , it went up to .2. That is when I had radiation. After that , it has been understandable.

Sorry, undetectable.

I was diagnosed with prostate cancer approximately four months ago. We we’re hoping find a doctor that does the implant. We live in our Rubel area shuffle house cancer center is an hour away. Does anybody know if there are any doctors in the Pacific Northwest Biden plan I qualify

Since all my metrics were borderline rather to treat or observe, I went with targeted radiation, low and slow. Worked for me. PSA low, no long term side effects except I need to work the kegals. Good luck