Looking for opinions
I am 48 years old and PSA is reading high, MRI showed possible cancer, biopsy came back positive for cancer with Gleason at 6. Have large prostate and Dr. recommended aquablation to help with being unable to urinate at the start of trying to go until a few seconds later along with monitoring. Another Dr. recommended having prostate robotic surgery for removal of the cancer.
I am just not sure which route I should go and I am looking for opinions from anyone around my age of 48 that have experience with this. I have read all the side effects of surgery, just conflicted if I should go that route since I am younger and healthy and have a better chance of not developing the side effects.
I am currently waiting on decipher to come back which should be in a few weeks thus is why I am exploring my options but also want to gather some real life experience from others that been down this road. Thanks
Hi
. It is certainly understandable why you would be conflicted looking at the options. I can't personally speak on this and need to note that we are not medical professional and, for your protection, can not provide medical or diagnostic advice. That said, on question I have is whether the prostate aquablation treatment is part of a clinical trial? I ask because at this point it is only approved for benign prostatic hyperplasia and in trials for cancer. I do want to note that there is a type of ablation, focal therapy, for cancer (see: https://prostatecancer.net/living/focal-therapy and https://prostatecancer.net/stories/focal-laser-ablation-option).
Also, given that you diagnosis is Gleason 6, has anyone mentioned Active Surveillance? This article from our editorial team goes into more detail: https://prostatecancer.net/treatment/active-surveillance. The Decipher test should provide more information on the viability of this option. In which case the aquablation could be a treatment for BPH, while on active surveillance for the cancer. Hope this information is helpful and that others chime in with their thoughts. Please feel free to keep us posted and to ask additional questions. Best, Richard (Team Member)
