posted by jimco60
05 April 2013
Prostate Cancer. The after effects.
Last reply:
15 April 2013 09:35
I had prostate cancer diagnosed last year and posted a note here because I had difficulty deciding which treatment to go with. I was offered surgery and radio treatment of various kinds. I was lucky in that it had been diagnosed before becoming a problem. I had no symptoms. It showed up on a PSA blood test and then was put forward for biopsy. The results showed a Gleason scale rating of 7 with 2 out of 6 on one side and 5 out of 6 on the other. I pondered long and hard and asked here for help which produced no suggestions and no help. Look at the lists of posts with number of hits reading and then number of answers to a number of different cancers. Men with cancer want answers but are not prepared to talk.
There were a number of things worrying me. First that I would lose my ability to have erections and a normal sex life after and second that I would lose control of my bladder and worse case scenario my bowel as well. It would have been my second cancer operation. 5 years ago I had a kidney removed at St Vincents. I saw the same consultant and team this time and had great confidence in them. They told me that they could make no promises as to the after and side effects of the operation. This was hard.
The other consultant also said the same. The crucial piece of information that decided me was that with surgery all the damage, side effects and after effects of the op would be up front and be there when I woke up and that would be the worse it could be. There after it could only get better. And it did.
With radio therapy in all the different options the effects are not apparent until sometime later and cannot be measured before. You have only to wait and see what developes later. This can take up to a year or more. The initial effects apart from the inconvenience of attending the clinics regularly over maybe a 6 week period are limited. After the end of their treatments you might feel great and cured with no ill effects. They can arrive later. The other crucial information I gleaned was that with radio therapy if the cancer came back there was nothing a surgeon can do because of too much soft tissue damage to the area This would leave only chemo. Whereas with surgery all three options are still there. More surgery, chemo and radio.
I chose surgery and am delighted with the results. Because of the location of the tumour all the prostate had to be removed including the nerves controlling erections. I followed advice and did lots of pelvic floor exercises before and after and am convinced it did a lot of good. I still do them once a week for couple of minutes.
I take viagra now and things are almost normal again with sex. Not quite but hey I don't have cancer anymore. I have no problems with incontinence in the bladder or bowel. This took maybe 5 weeks to come back but it did. Positive thinking and exercises worked.
I hope this helps someone out there not able to make up their minds. I know none of us have the same problems and lives to lead and in other circumstances I might have chosen differently. I am 65 now with lots more life to live. Good luck.
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