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Prostate Surgery

Chinguya

Registered Member
Messages: 12
Joined
#3
I had Indigo Laser treatment for BPH about 20 yrs ago. It was outpatient and well worth it. Stopped having to piss all the time and the rest of the plumbing works just fine. For cancer it might be a different story.
 

bepcigar

Review Contributor
Messages: 205
Reviews: 44
Joined
#5
I had my prostate removed 20 years ago (cancer). I can still get hard with Viagra and still get the sensation with sex but am shooting blanks (no ejaculation).
 

Matawan3

Registered Member
Messages: 156
Joined
#6
My Dad has his shrunk. Called a TURP. They gave he meds to keep it shrunk.

He usually never talks sex stuff with me, so I know it was bad when he just blurted out, "It was over after that surgery". Granted he is in his 70's now, so maybe he just gave up. Because there are always option even if it means penile implant.
 

TheSpaGuy

Registered Member
Messages: 67
Joined
#9
I had a prostate cancer scare several years ago. PSA of 7. Had a very long talk with my GU guy (I was a fellow treating clinician at the time so we spoke for almost an hour) and the long and short of it was because of the permanency of potential negative outcomes that, if he personally had PC he would do nothing at all.

This isn't medical advice, I'm simply trying to relate how an unbiased conversation between peers goes in the medical professions vs a practitioner who is confronted with a desperate patient demanding that they do something now.

Sometimes the cure is worse than the disease.
 

didi88

Review Contributor
Messages: 1,562
Reviews: 34
Joined
#10
I had a prostate cancer scare several years ago. PSA of 7. Had a very long talk with my GU guy (I was a fellow treating clinician at the time so we spoke for almost an hour) and the long and short of it was because of the permanency of potential negative outcomes that, if he personally had PC he would do nothing at all.

This isn't medical advice, I'm simply trying to relate how an unbiased conversation between peers goes in the medical professions vs a practitioner who is confronted with a desperate patient demanding that they do something now.

Sometimes the cure is worse than the disease.
It’s not always all or none. There is an alternative where treatment is not initiated right away in the case of low grade prostate cancer. The patient is monitored on a regular basis and if there is no progression, treatment is not done, sparing the patient the side effects of radiation or surgery. There are men who have been followed for years under this program, and function normally despite having prostate cancer. Most major medical centers are now offering this option
 

TheSpaGuy

Registered Member
Messages: 67
Joined
#13
A patient of mine had a radical prostectomy. He said that he lost so much length of his johnson that on cold days it's an innie. Not for me, I need to be able to see the girls.
 

didi88

Review Contributor
Messages: 1,562
Reviews: 34
Joined
#14
Like I said, not every patient with prostate cancer needs surgery, especially if it’s low grade, which the majority of cases are. Before deciding about having surgery, first decide if it’s even necessary
 

Montco422

Review Contributor
Messages: 90
Reviews: 3
Joined
#15
If you ever need to see a urologist about your prostate, make sure you know your PSA test scores going in. I've been under Active Surveillance for a few years now. Last visit, doc comes in and starts talking about how it's time to start planning surgery, here are the choices, etc. I finally stopped him, asked what the hell he was talking about, my test scores were stable. Why was he suggesting surgery?

The SOB was reading somebody else's chart.
 

727

Registered Member
Messages: 522
Reviews: 16
Joined
#16
If you ever need to see a urologist about your prostate, make sure you know your PSA test scores going in. I've been under Active Surveillance for a few years now. Last visit, doc comes in and starts talking about how it's time to start planning surgery, here are the choices, etc. I finally stopped him, asked what the hell he was talking about, my test scores were stable. Why was he suggesting surgery?

The SOB was reading somebody else's chart.
Oh, I hope you ahve a new doc . . .
 

cheezewhiz

Review Contributor
Messages: 305
Reviews: 11
Joined
#17
If you ever need to see a urologist about your prostate, make sure you know your PSA test scores going in. I've been under Active Surveillance for a few years now. Last visit, doc comes in and starts talking about how it's time to start planning surgery, here are the choices, etc. I finally stopped him, asked what the hell he was talking about, my test scores were stable. Why was he suggesting surgery?

The SOB was reading somebody else's chart.
Wow.
 

Montco422

Review Contributor
Messages: 90
Reviews: 3
Joined
#18
Oh, I hope you ahve a new doc . . .
Weirdly, no. It's a busy practice, these guys are zipping from room to room and shit happens. Maybe I'm too forgiving. But he (and the other docs there) have been overall very good. And I do my homework, so I know what to expect going in. Can't imagine being the poor schmuck who has no idea what his test scores are and ends up under the knife for no reason. I'm sure it happens, just don't want it to happen to me.
 

didi88

Review Contributor
Messages: 1,562
Reviews: 34
Joined
#19
That’s the route I took. But within a year my Gleason score(rating of the cancers aggression)jumped two points to an eight. Surgery was only option for me. Radiation is an option, but if you are younger there can be secondary cancers later. There’s Cyberknife which is non invasive and takes one week to complete the treatment. I wish I took that route early on.
There is a small but definite risk of developing secondary cancers following radiation treatment for PC. I’m not sure Cyberknife treatment would reduce this risk, since it’s still basically a form of radiation therapy; just uses a very high dose over a short period of time
 

didi88

Review Contributor
Messages: 1,562
Reviews: 34
Joined
#20
Active surveillance is good if your Gleason score is a six. Mine progressed quickly to an eight. Some don’t. It could take 10 years to become an issue. My initial PSA was a 15.
Actually there are patients on AS with Gleason 7, provided it’s 3+4, not 4+3. Any score above that requires treatment with surgery or radiation
 
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