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Click here to go to Prostate Cancer Second Opinion.

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The following is a comment to a previous post- Who regrets prostate treatment worse…

I did my due diligence after diagnosis at age 54 and decided on surgery first, salvage radiation in case of recurrence. Because I was well informed, my oncologist/surgeon was extremely honest and blunt. With my high PSA (40.98) and short doubling time he would be performing a non-nerve sparing Laparoscopic radical prostatectomy. This would result in no possibility of spontaneous erections following surgery. He would do his best to preserve continence. And if he couldn’t get a good ‘feel’ through the Laparoscopic tools, he would cut me open and ‘gut me like a fish’ to ensure the best possible outcome… life. Surgery was performed in November of 2008.
It took 3 months to get continence back. There have been no erections, even using trimix.
In June of 2011 my PSA started to rise, and in June of 2012 I underwent 40 radiation treatments. Both my primary oncologist and radiation oncologist explained the probable loss of continence and probable chronic colitis following radiation. The only adverse reaction is chronic colitis, but I am still in remission.
I do not regret having surgery, radiation, or the 6 months of hormone therapy post surgery. Based on the aggressiveness of my cancer I would probably be dead without all of the therapies. It’s important knowing all possible outcomes (death, complications from infection and scarring, incontinence, and erectile dysfunction) to make a decision that is right for you.
I have an acquaintance who is dying from aggressive prostate cancer. He was diagnosed with late stage cancer at 64, after not seeing a doctor for 15 years. For anyone in remission, no matter what symptoms we have as a result of treatment, those symptoms are a cakewalk compared to what my acquaintance is going through.

Something to think about.

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Illustrations from “The Decision” with explanations on Flickr. Over 7,000 views and not a bad starting point for the newly diagnosed prostate cancer patient.

Doctors will often draw on the bed sheet, their scrubs or on the exam table paper simplistic illustrations to help patients understand a concept. I have used the above illustrations hundreds of times over my thirty year career as a urologist for this very purpose. Click on the above link and see if they are beneficial to you-either by helping you understand an aspect of prostate cancer or better yet prompt a question for your doctor.

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Sometimes you just have to “move along” the conversation to get from the history to the treatment.

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There is no fury like a urethra scorned.

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The dour physician is repulsive to the well and sick alike.

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Will Rogers said, “I never met a man I didn’t like.”

How can that be?

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