Wednesday, August 8, 2012

What treatment to take? I have Prostate Cancer and I just found out

What treatment to take? I have Prostate Cancer and I just found out.?
The Prostate can be removed or I can have Radiation. The Cancer is localized to my prostate only. If I have Radiation and the Cancer returns they will not remove my Prostate and if I have my prostate removed and the Cancer returns I can have Radiation. I'm done reproducing as I just turned fifty four. To me it's a no brainer (survival and remove), I still want to be able to have sex with my wife though and there are risks either way. Please advise!
Men's Health - 3 Answers
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1 :
I really think that's a medical question for your treating doctors not for the average joes on Answers
2 :
I understand what you saying. But you need talk your doctor about what you told us.
3 :
I agree with you. Surgical removal (radical prostatectomy) will be the "cure" as long as the post-surgical pathology shows complete encapsulation - no spread outside the prostate. Whether you "have sex" with your wife after you recover depends on how you define "having sex". It may be difficult or impossible to maintain an erection. Talk to your urologist about prosthetic implants prior to surgery. If I remember correctly, only about 20% of patients with radical prostatectomy can achieve an erection. Some respond to Viagra-type of medications, some don't. You may be able to achieve orgasm if the surgery preserved the nerves successfully. I can't stress enough how important it is to make sure your surgeon is competent and well-practiced in this very delicate procedure. You seem to have a realistic outlook going into this procedure. Be sure to discuss your situation with an oncologist and radiologist as well as your urologist/surgeon before you make a final decision.

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