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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prostatectomy Advised For Prostate Cancer. Is Seed Brachy Therapy Helpful?

I have prostate cancer . PSA 5.2, Gleason 7. That s all I know about it. My urologist recommends prostatectomy . My radiologist recommends seed brachy. They don t seem to want talk to each other. I have to choose soon, and I am very confused. Any advice, please? Is brachy good with Gleason 7? My urologist has scared me by telling me that if radiation fails, it makes any later surgery much more problematic. Both of them describe their processes as easy. Thank you very much.
posted on Tue, 19 Mar 2013
Twitter Tue, 19 Mar 2013 Answered on
Twitter Tue, 19 Mar 2013 Last reviewed on
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Oncologist, Surgical,  's  Response
Dear Sir,

Sorry to hear about your problem. Gleason score represents the grade of the tumor and not the stage (amount it has spread), therefore has no role in deciding the management.
If your tumor is operable and your age is less than 70-73, you should go for surgery. If you age is more than 75, then go for brachy as surgery after that age will be associated with complications.
Both the treatments have their pro's and con's but both are effective. You should ask both of them to tell you more about the procedures and then make up your mind.

Hope you get well soon.
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Prostatectomy Advised For Prostate Cancer. Is Seed Brachy Therapy Helpful?

Dear Sir, Sorry to hear about your problem. Gleason score represents the grade of the tumor and not the stage (amount it has spread), therefore has no role in deciding the management. If your tumor is operable and your age is less than 70-73, you should go for surgery. If you age is more than 75, then go for brachy as surgery after that age will be associated with complications. Both the treatments have their pro s and con s but both are effective. You should ask both of them to tell you more about the procedures and then make up your mind. Hope you get well soon.