Debate: Surgery vs. Brachytherapy for Intermediate and High-Risk Prostate Cancer - Surgery

Christopher J. Kane, MD, FACS, the Dean of Clinical Affairs at the University of California San Diego School of Medicine, and the CEO of the UC San Diego Health Physician Group, delivers an insightful presentation on surgery versus brachytherapy for intermediate and high-risk prostate cancer. He highlights the importance of accurately defining high-risk disease and presents his viewpoint that surgery is the optimal treatment for well-selected patients.

[@Trailjunkie62]

Thanks! Very helpful, 54 with 3+4 intermediate prostate cancer and have researched hard and fast trying to avoid removal. With all the options available I’m finally at peace understanding that surgery is my best option because of my age so scheduled for prostatectomy mid January

[@BoboDeel]

How'd it go? I'm in a similar situation. 3+4 unfavorable (though one doc said favorable), 56 years old, active trail runner. Choosing between surgery or radiation.

[@justjames9775]

This video basically outlines my case. I am 61 years old, and was diagnosed with Gleason 9(4+5) grade 5 prostate cancer about 3 weeks ago. So far, the tests have not indicated any metastasis. I decided to have a radical prostatectomy, and I would think that there should be a push to get it done as soon as possible, but I don't detect any sense of urgency from the medical community. As yet, all I have managed to get scheduled is a consultation with a surgeon. I suppose that the actual surgery would be scheduled at some point after that.
I am at my wit's end, and way beyond frustrated.

[@Cadets1986]

no surgery yet?😮 how frustrating

[@justjames9775]

@@Cadets1986 I did end up having surgery at the end of January. It went well, and my first PSA test since then came back undetectable. I am due to have another PSA test in August. I still wear pads, but I am down to having very little incontinence (basically just slight leakage if I strain to lift something).