Deciding on Prostrate Removal

I am a 77 year old male 6’4” tall weight 20st 2lbs

I have been diagnosed with prostrate cancer.

A 9 on the Gleeson scale.

I has spread to lymph nodes.

Got my bone scan results back today as All clear.

Fit for Radio Therapy.

I consider myself reasonably fit .

I exercise some but not a lot.

Don’t play sport.

I am looking for advice on whether to request surgery for removal at my meeting in 2 weeks with Surgeon?.

Or just go with Radio Therapy?.

NHS standard cut off for removal is 75.   

So I just miss the cut.

What is the opinion of people here favourable or otherwise to make a reasonably researched decision on pushing for removal or not?.

I am aware of the posted comments on google good and bad.

But looking for comments from anyone having gone through this on this chat site and then be able to make the decision rightly or wrongly.

My prostrate is also growing again and will require another reduction in due course possibly within a year.

So I feel best opinion is 1 operation to remove.

All opinions gratefully  received.

Regards

Badger2230

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  • Hi Badger,

    The advice I received was for radiotherapy. I'm 66 with locally advanced (just on the outside of prostate) Gleason 9, no spread. Surgery was not an option, advice is to nuke lymph nodes and prostate for a cure. Yours seems similar, with nuking your nodes as well as your prostate likely. Radiotherapy or hormone therapy seems likely to be needed with surgery anyway, if your nodes are involved, as they can't guarantee getting it all with just surgery. I've found great advice in Youtube videos from the Prostate Cancer Research Institute in America. Some bits not relevant to the UK - we have the NHS and choice is less available - but on the whole very helpfull.  Also, ask yourself if surgery is the best option at your age, bearing in mind the affect of operations the older we get, incontinence etc. PC is slower moving than other cancers, and other ailments maybe of more concern in your immediate future.

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