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Monday, November 24, 2014
Is Nerve-Sparing Surgery Possible for Prostate Cancer Treatment?
Age 66, excellent health. PSA =6.6, Stage T1c, Gleason 6 and 7 with biopsy showing 100% grade 3+3 in right apex plus 5% Gleason 3+4 in right prostate and 3+3 in left and left apex. Is nerve-sparing surgery possible? Any other treatment recomended?
Nerve sparing can certainly be carried out at time of radical prostatectomy. Another form of therapy is radiation therapy that can be administered with radioactive seeds or what is referred to as external beam. I am sure your urologist can discuss with you the pros and cons of each approach.
Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University