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Monday, November 24, 2014
What Surgical Options Are Available for Me?
I am 48 years old and I have a gleason score of 3+3=6 involving one of six core fragments submitted (approximate tumor volume less than 10%). My question is would radiation and seeds be best for me or surgery? I am concerned about loosing my male functions. Right prostate biopsy indicates there are six tan cylindrical soft tissue fragments measuring from 0.6 x 0.1 cm up to 1.3 x 0.1 cm; all six fragments entirely submitted as A1 and A2. Left prostate are six tan cylindrical soft tissue fragments measuring from 0.9 x 0.1 cm up to 1.4 x 0.1 cm; all six fragments entirely submitted as B1 and B2.
You have options. Surgical removal of the prostate is very appropriate for your situation and potency can be preserved in about 70% of men your age. Radiation therapy including seed implantation is also an option. There are pros and cons with each approach and I suggest that you discuss them with your urologist. It may be of value to discuss the options with a radiation oncologist as well.
Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University