Prostate Cancer Survivors






Return to Website

This forum is for the discussion of anything to do with Prostate Cancer.
There are only four rules:

  • No fundraisers, no commercials (although it is OK to recommend choices of treatment or medical people based on your personal research; invitations to participate in third-party surveys are also acceptable, provided there is no compensation to YANA);
  • No harvesting e-mail addresses for Spam;
  • No insults or flaming - be polite and respectful at all times and understand that there may be a variety of points of view, all of which may have some validity;
  • Opinions are OK, but please provide as much factual evidence as possible for any assertions that you are making

Failure to abide by these simple rules will result in the immediate and permanent suspension of your posting privileges.

Since this is an International Forum, please specify your location in your post.

General Forum
Start a New Topic 
View Entire Thread
The Best Solid Advice

Aloha Terry,
You provide us with better informed information than we can get from our local doctors. Your efforts to enlighten us are worth far more than what we can provide as individuals. From experience I very much agree with your friends statement of if you think urinary incontinence is bad, rectal/anus incontinence is worse, A LOT WORSE. I'm lucky in a way, I live on a small coffee farm, if I can't make it back to the barn, I just drop my load where ever, and clean it up after I clean myself up.
Again thanks for your personal assessments and the contacts you provide through this site,

Re: The Best Solid Advice

You didn't mention that the treatments and the side effects are getting better every year. The longer you can wait to get treated the better the treatment will be. If your life expectancy is 15 years with a GS of 6 then you can afford to wait to see what treatment will be available in 10 years when you might decide to get treated. By then the treatment may be a vaccine with none of the traditional side effects that reduce ones quality of life.

If you are a GS 4 & 3 or above then you don't really have much of a waiting option.

Re: The Best Solid Advice

How will your thesis change if there is a therapy for T1-T2a, with localized cancer, that can be identified in a high likelihood using MRI and template guided biopsy and can be focally ablated resulting in close to 0% morbidities? I qualified to this HIFU Hemiablation procedure and have a stable PSA for almost 24 months with minor side effects.

Active Surveillance - Why Wait?


I have changed the title of this post back to the original to make it clear, yet again, that I am NOT giving advice in this post, or suggesting that anyone should do what I do, or advancing a thesis. I am merely responding to a question asking why I chose my path and not surgery.

Of course if there was a guaranteed cure that is to say a therapy that would result in a complete remission of the disease for the rest of the man's life with no side effects at all, there would be no need to consider active surveillance, but there is no such therapy available at present.

Focal therapies are in their early stages with no long term data. You say at 24 months, a couple of steps along the marathon that is prostate cancer, you have a stable PSA with minor side effects. At 24 months, my PSA had reduced from 7.20 ng/ml to 4.35 ng/ml with a 42% free PSA and I had no side effects at all. Check out STEVE Z who also chose focal therapy before making statements implying that this therapy is a sure cure.

All the best as you travel your road and I travel mine.

Terry in Australia