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Suggest Treatment For Prostate Cancer
We have just come from the Doctors office. My husband is stage 6 on the Gleason scale. They are recommending removal of the prostate with robotics in Celebration Florida. Is this our best option. Should he have a Scan of the rest of the body first. They are not recommending any scans.
Fri, 30 Mar 2018
Hello,
Gleason score and prostate-specific antigen (PSA) levels are considered for scoring the risk. With Gleason, less than six and PSA levels less than ten would be considered low risk. And PSA is greater than ten and Gleason is greater than seven come under a moderate risk. Treatment options for the low-risk category are
1) Active surveillance
2) Prostatectomy or TURP
3) Radiotherapy/brachytherapy
I hope your doctor explained to you the pros and cons of each of these options. At present the recommendation for the low-risk category is active surveillance in which he’ll have to get himself examined every three months and monitor PSA levels if anything is abnormal or if the levels are rising, then he needs to undergo prostatectomy or radiotherapy accordingly. With active surveillance, the five-year survival rate is around 80% which is equal to prostatectomy.
If you decide to go for prostatectomy robotics has no advantage over open method and post-prostatectomy quality of life is compromised like he might not have control over the bladder, have lower abdomen pain and loss of libido so before you go ahead with the procedure. I would suggest you take a second opinion and totally understand about the treatment methods.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Avanti Sathineedi
Gleason score and prostate-specific antigen (PSA) levels are considered for scoring the risk. With Gleason, less than six and PSA levels less than ten would be considered low risk. And PSA is greater than ten and Gleason is greater than seven come under a moderate risk. Treatment options for the low-risk category are
1) Active surveillance
2) Prostatectomy or TURP
3) Radiotherapy/brachytherapy
I hope your doctor explained to you the pros and cons of each of these options. At present the recommendation for the low-risk category is active surveillance in which he’ll have to get himself examined every three months and monitor PSA levels if anything is abnormal or if the levels are rising, then he needs to undergo prostatectomy or radiotherapy accordingly. With active surveillance, the five-year survival rate is around 80% which is equal to prostatectomy.
If you decide to go for prostatectomy robotics has no advantage over open method and post-prostatectomy quality of life is compromised like he might not have control over the bladder, have lower abdomen pain and loss of libido so before you go ahead with the procedure. I would suggest you take a second opinion and totally understand about the treatment methods.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Avanti Sathineedi
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