Prostate cancer
Hello everybody. I am new to this forum and I'm glad I found it. Your opinions or sugestions will be greatly appreciated. Last August I had a prostate biopsy. Gleason 3+3. I'm having an OAB which my Urologyst says it's not related to my prostate. He has put on two different medications to treat the OAB. However, they have not work. My OAB symptoms continue and now I'm more worried and confused. I'll have robotic surgery next December. I'm worried it'll be too late. Thank you
Gleason 3+3 is generally a monitor only diagnosis so I wouldn’t worry about a “delay” in treatment until December. Everyone’s situation is different so there must be more to the story on treatment direction. It really doesn’t seem to be urgent which is good news.
You may want to seek other medical opinions as you have plenty of time. Do a lot of research. If you are set on radical prostatectomy, shop for surgeons with tons of experience as it can make a huge difference in urinary and sexual function outcomes beyond simply removing the cancer.
Hi
. It is always understandable to be concerned about cancer. One thing to note is that a Gleason 6 is considered very slow growing. In fact, it is the level at which patients are often given the option of active surveillance (see: https://prostatecancer.net/treatment/active-surveillance). There are a lot things that can cause overactive bladder and a number of treatments and your doctor mayhave a specific reason for believing the cancer is not a cause of the OAB. Your doctor may have already shared much of this, but here is a page from Yale Medicine that discusses this: https://www.yalemedicine.org/conditions/overactive-bladder. There is research finding that OAB can be a problem for men newly diagnosed with localized prostate cancer (see: https://pmc.ncbi.nlm.nih.gov/articles/PMC7658156). The key word there may be localized, meaning that even if the prostate cancer is contributing to the OAB it does not mean that the cancer is growing or spreading. Given that you have a Gleason 6 this may even be more so. Your doctor should be able to provide further information on the nature of Gleason 6 PCa and why the current treatment schedule for a December surgery is appropriate in your case - don't hesitate to ask. Hope this information is helpful and please feel free to keep us posted on how you are doing. Best, Richard (Team Member) Thank you so much for replies. Your replies have added peace of mind and awarness about PC.
