I'm 64 years old, I take no medicines, in very good shape, I exercise and eat healthy. My dad was diagnosed with prostate cancer at around 85, he had radiation, lived to about a month ago.
PSA was low, but biopsy showed a different story
I live in the LA area, in California, and belong to Kaiser. I am an engineer working from home, probably till next spring-summer when we plan on returning to our offices. My surgeon is Albert Aboelkhair Mikhail. My radiologist is Dr. Barry Goy. My PSA has been 1.0
for last few tests.
A rectal exam in September yield an inflame prostate and some nodules. I made the mistake of not pushing for an MRI first (none suggested by urologist either) and went directly to a biopsy. Biopsy revealed a 3+4, and seems to be located on the left bottom side. Will be doing an MRI
this Saturday. The surgeon was quick to push for surgery (a bit concerned he never mentioned MRI, but my radiologist was the one, he said we needed one).
Making my treatment decision based on expected side effects
Sorry for the title of the post, but given two avenues have been recommended, surgery or seeds radiation
. Putting the risks of surgery aside, it seems I have to decide to deal with embarrassing incontinence or unpredictable bowel movements. My dad, because of radiation, had many embarrassing uncontrolled bowel movements and soiling just about everything. I am very actively sexually, so I am not sure which is the best option for the ED side effect
and recovering from it.
What do I need to consider before making my final decision?
Am I missing anything? What else do I need to consider? Those of us with HMO medical insurance, seems we have to go with what's available unless we decide to pay out of pocket. So how do I do my homework on the surgeon and the radiologist? Especially the surgeon if I go the surgery route
. I am not even sure if Kaiser is the right place either for these procedures. Help in this area is also appreciated. I don't panic or stress about things, but usually, I have more in my control to do research and in this case, I am not sure what other research to do, whether I should pay for second opinions
, or what exactly to consider or not.
Thank you, thank you, I know when my wife, 31 years ago, was diagnosed with Lupus, these type of forums gave us the information we needed and gave us hope.