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What Treatment Did You Have for Prostate Cancer?

Hello, my PSA was 6 when I got had my biopsy done, came back 3+4=7. Just starting to look at treatment options for prostate cancer. I would like to hear from others with similar biopsy results on what treatments they had and what the results where. Thanks

  1. Hi, . We posted your question to our Facebook page and it sparked quite the discussion. Please see the post for feedback from other community members. We hope these responses help you in your treatment journey. We are here for you!

    Best,
    Amylyn (ProstateCancer.net Team Member)

    1. I had BPH which turnex into Prostate cancer. At the Proton center in dallas, the Dr put me on Lupron to shrink the prostate then proton therapy. Some slighht side effects but all better now.

    2. Very similar to you, after my markers, SpaceOAR, and 27 days of radiation treatments, etc. Now 5 years out stated to be "cancer free" by my radiation oncologist. Some ED and ejaculation issues, expected as I'll take the very important "cancer free" over all, and continued life! Stay strong!

  2. I had same pathology and chose HDRBT. I am 3 years post treatment and no side effects and my PSA is 0.4.

  3. First diagnosed in late 2017 with low risk. Went a little over a year on active surveillance and had moved to intermediate risk category with PSA of 13 (3+4). Made decision to go with radiation therapy (5 week version) with no ADT in 2019. After 6 months PSA had dropped to 6, after 12 months it was down to 2, and will soon be going into my 18 month appt. hoping to see even lower numbers which radiation oncologist highly believed would happen. PSA dropped slower in my case in part due to not taking ADT according to oncologist. I know ADT is recommended most often with intermediate risk category but had talked to a couple of men who did take ADT along with the radiation who discouraged it based on their experience. I've had very few side effects and most occurred shortly into the treatment itself......some burning while urinating, lower flow rate, and higher frequency. Currently have been taking Flomax generic for quite awhile as it helped the flow issue. May not even need it now but I keep using anyway. Pretty normal life thus far with little interruption with sex life as well.........which was one of the drivers in my decision making. I will soon be 72 which is also one of those things that should go into the decision making. If you are one that likes to dive into the data before making a decision (myself) I would recommend reading Patrick Walsh book on Surviving Prostate Cancer. I consider myself blessed so far and understand there are no guarantees and that every case can be different.

    1. Yes you can. I had my first ablation done by Dan Sperling. He didn't take insurance and don't know if he does now. My second was by Eric Walser at UTMB. They take Medicare. Sorry for the delay in responding.

    2. he may be a great urologist but if your looking for to maintain potency and you don’t fall within certain parameters he won’t operate on you! Plus expect a 4 month wait for an appointment!


  4. same Gleason. PSA went to 8.0. decided on RARP. PSA day of surgery 8.8. A yr and a half later PSA rising when it reached 2.0 decided to go with salvage external beam radiation therapy-39 sessions. PSA has been less than .06 (negligible) for 2+yrs. 71 yrs old overall healthy, active. urinary incontinence creates a need for pad (AM only-sometimes) ED a fact of life (not a concern for me)
    Only side effect not anticipated was radiation cystitis-bleeding bladder. this side effect was minimized when I was researching.
    Presently doing very well. 6 month PSAs and follow up urologist visit.
    in retrospect I would choose RARP.
    ADVICE: GET SECOND OPINIONS BEFORE MAKING FINAL DECISIONS

    1. Hi . That is a long time to have hematuria. Was there any particular radiation damage identified? Am I correct that this has since cleared up? It is certainly understandable that it would be unexpected and terrifying. Wishing you the best. Richard (Team Member)

    2. Yes, cleared up. CT and cystoscopy confirmed no pathology other than radiation cystitis.

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