
What Does My Prostate Biopsy Report Indicate?

Prostate cancer can be managed surgically or conservatively.
Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist, i must advise you that, radical prostatectomy is best option.
It's possible, if you're in otherwise good health, and there're no metastasis.
Also, you should be a good risk case for G.A., with organ confined lesion.
The standard procedure is a laporoscopic radical prostatectomy.
Today, many centres have facility for robotic surgery, as you may be aware.
The main advantage being,less bleeding and being nerve sparing,for having sex, and better continence.
If your MRI pelvis doesn't show lymph nodes,prognosis is even better.
But, in case you're not fit for G.A., or high risk for radical surgery, then you'll have to consider conservative options.
Conservative options are Radiotherapy to prostate gland( 3-d conformal), Androgen blockade with Leuprolide injections, or bilateral orchidectomy, and hormonal treatment with Bicalutamide.
PSA and LFT, with creatinine, have to be monitored.
Hope your doubts have been clarified.
Wish you good health.

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