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What issues do others have with gleason 7. 4+3

I had my prostrate removed april of 2022. I am still tired a lot, leak a little and have ED. I also feel like a different person. Does anyone else have the same issues?

  1. Any treatment for prostate cancer can impact you mentally, physically and emotionally. I was diagnosed with a Gleason 9 almost 11 years ago. Given your surgery was about 20 months is your surgeon aware of your various concerns? He or she may be able to address your questions or refer you to another provider. Many hospitals have MD's who focus on specialize areas sleep, neutrition etc. Leaking for example may respond to doing Kegel exercises on a regular basis and on a specific schedule. Depending on the volume of leakage, a prostatic urethral lift may be option .


    Any type of ED may respond to any number of treatments from Viagra to injections to an implant . Being tired may respond to embracing a new or different diet or exercise routine. You might want to inquire about a better nutrition protocol as a potential tool to increase energy levels. A sleep specialist can also help. For example rather than going to bed at 11PM a sleep specialist suggested to me that going to bed at 10PM r was more in line with my circadian rhythm. That made a huge difference in my energy levels. Hope some of this is helpful. Please let us know how you are doing. Dennis (ProstateCancer.net TEAM)

    1. Thank You! That was very informative. I go get my psa again this month so will talk to him a bit. Hoping for another 0.001

      1. I had my prostate removed in January 2023 I'm 65, its differently life changing. Before having my prostate removed I had a strong sex drive, no leakage and no ED. Ive come a long way since removal and hope to inprove more but I seem to of paltoed with ED, 5 20 mg viagra pills do nothing and I have leakage, leakage seems to be improving but I still use pads, I cant go anywhere without knowing where the rest room is, I just dont seem to have the get up and go I had before removal. I see my urologist on the Dec 29 hopefully he has some answers.

        1. my Dr just gave me trimix injectable. He thinks viagra may work down the road. I moved to underware that has a built in pad and washable. I dont leak as much now. He says it could take two years to get better. I just got another zero so no psa for another six months.

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