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couchmaster
climber
pdx
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Good luck Zip, stay positive. Thanks to all who contributed good info to the thread.
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SC seagoat
Trad climber
Santa Cruz, or In What Time Zone Am I?
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Get busy living, or get busy dying.
Stick with the former....the other will take care of itself just fine.
Sounds like you have a good plan of action. I don't know what your numbers mean but I'm hoping you are beginning to feel a sense of relief that, finally, a road map. Time to shift into low gear, nose to grindstone, and get the job done. Keep being an advocate for your health care, and yes having information will put you in a good position to be a partner in your healthcare.
Lots of thoughts and good wishes going your way.
You can do this!
Susan
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zBrown
Ice climber
Brujo de la Playa
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Best results whichever direction you choose. More than makes the ST forum worth the price we all pay for it.
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donini
Trad climber
Ouray, Colorado
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Your Gleason score is not very high. How old are you? With men 60 or older with a Gleason score of 6 watchful surveillance is one of the options.
Robotic surgery has not been proven anymore effective than regular surgery.
Urologists are going to push surgery because that is their game. Look into radiation options...I had very few side effects from my seeds implant.
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jstan
climber
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Carefully look over the surgical report. If the cytological tests in the margins showed remaining cancer then it was not all removed. The surgeon will discuss it with you. One of your options then will be radiation therapy. You need to discuss with your doctor the pros and cons of doing salvage radiation therapy right away or doing it later. You will be tracking your PSA.
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zBrown
Ice climber
Brujo de la Playa
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For a 2013 study of cryosurgery results, Google
"Focal Cryotherapy in the Treatment of Localized Prostate Cancer"
It's a pdf file, I can't get the exact address
Discussion
The optimal management for localized prostate cancer
is controversial. While men with low-risk and selected
intermediate-risk prostate cancer can be managed by
active surveillance, the majority of men with early
prostate cancer are radically treated with either surgery
or radiation therapy. With better patient selection
by defining the biological potential of the cancer and
with improvements in technology to follow these men,
active surveillance will become more widely used. For
low-risk and some intermediate-risk patients, active
surveillance is usually recommended since the cancer
is noninvasive and has an overall survival rate comparable
to other radical treatments.2,3 Nevertheless,
there is a subset of men with early cancer who will
benefit from active treatment; however, they also may
benefit from focal treatment of their localized cancer
without subjecting them to the potential risks and
complications of radical local treatment.
See also:
Application of New Biotechnologies for Prostate Cancer Treatment (Comparative Analysis of Brachytherapy, Cryosurgery, Laparoscopy, Robotic Arm and Cyberknife Methods)
http://omicsgroup.org/journals/application-of-new-biotechnologies-for-prostate-cancer-treatment-2167-065X.1000113.php?aid=19022
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zip
Trad climber
pacific beach, ca
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Topic Author's Reply - Sep 4, 2014 - 08:00am PT
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Brokedownclimber
Trad climber
Douglas, WY
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Hey Man-
Get SOMETHING done and soon. I personally would do either the Robotic Surgery at your age, or at my age the "seed" implants.
Fortunately you have caught this at an early enough stage to eliminate the problem.
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zip
Trad climber
pacific beach, ca
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Topic Author's Reply - Sep 5, 2014 - 05:32pm PT
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Decided to go with the robotic surgery.
Been almost 24 hours, and I still feel like crap.
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MikeL
Social climber
Seattle, WA
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It'll get better, man. Surgery is always tough on you. Do what they tell you, rest, and work on getting better. It's a participative sport.
Be well,
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jstan
climber
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In the robo surgery maybe they don't put you as far under. I had the cut and slash with no problem. Except I recently went back for the burn. No discomfort there either.
Don't forget about all the progress being made. Last week there were reports that the attachment points used by cancerous cells, any cancer, could be blocked, and could do away with the need for cytotoxins, No chemotherapy.
Edit:
Very strange. Looks like nearly everyone was put down for awhile. My memory must be even worse than I thought.
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lars johansen
Trad climber
West Marin, CA
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Hang in there Zip. I had the laparoscopic surgery over 3 years ago. With the help of friends I was back climbing within months. I'm sure you will be fine.
lars
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Brokedownclimber
Trad climber
Douglas, WY
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Zip-
My friend was able to go elk hunting less than 3 months after his robotic surgery, and that included riding a 4-wheeler. He said he had to be pretty careful but everything worked well in his case. His comment: every day afterwards, after the first 2-3 days, he felt better. The second week, you should have most of the discomfort behind you.
So...good on ya' man!
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Rattlesnake Arch
Social climber
Home is where we park it
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Been there. Best part is getting the catheter out in a few days.
Best of luck.
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SC seagoat
Trad climber
Santa Cruz, or In What Time Zone Am I?
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Yeah Zip......getting those ugly buggers OUT OF THERE.
You'll feel like sh#t on a shingle for awhile. Eventually it's justa memory
This was the first day I met you and Brokedownclimber in person at J Tree.
If I can do it, you can too!
You got this in the bag, Buddy....and do ya get to keep your hair!!!
Susan
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Brokedownclimber
Trad climber
Douglas, WY
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Zip-
I recall from my prostate Green Light Laser ream job that the best thing going to happen is getting that effing catheter pulled out. And then---taking a real dump after the pain pills wear off.
Things.
Will.
Get.
Better!
Rodger, aka BDC.
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zip
Trad climber
pacific beach, ca
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Topic Author's Reply - Sep 6, 2014 - 01:46pm PT
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A guess the surgery went ok. Not sure if the cancer escaped the Prosate.
I don't feel very good.
Hope to be paroled soon.
Thanks for all the kind thoughts and words.
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Jaybro
Social climber
Wolf City, Wyoming
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Take a nap, you're only going to feel better from here on!
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Lynne Leichtfuss
Sport climber
moving thru
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Hi Zip,
You look Grate even in hospital garb.:)
I will always have a smile in my heart for you. One of the first to take me climbing after Dan went to heaven. Thanks for that. You are in my prayers.
Cheers, Lynne
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