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Removing prostrate during radical surgery

4 years 9 months ago #57940 by Jack R
Replied by Jack R on topic Removing prostrate during radical surgery
Merryman

If the other items on your list are removed, the prostate will be left without a function.

Perhaps you are thinking of a Prostate Capsule-sparing RC. Seemingly a worthwhile approach to me.

The following article may help provide thoughts to discuss with your docs. Be sure to ask all you questions so you can be comfortable with the procedure to be undertaken.

www.ncbi.nlm.nih.gov/pmc/articles/PMC2792444/

Best
Jack
6/2015 HG Papillary & CIS
3 Years and 30 BCG/BCG+Inf
Tis CIS comes back.
BC clear as of 5/17 !
RCC found in my one & only kidney 10/17
Begin Chemo; Cisplatin and Gemzar
8/18 begin Chemo# 3
Begin year 4 with cis
2/19 Chemo #4
9/19 NED again :)
1/2020 CIS is back
Tried Keytruda, stopped by side effects
Workin on a new plan for 2021

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4 years 9 months ago #57938 by Merryman
Replied by Merryman on topic Removing prostrate during radical surgery
Hi Alan
Thank you for your reply as I’ve got 2 weeks to get some sort of answer before the op on the 26th

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4 years 9 months ago #57935 by Alan
Replied by Alan on topic Removing prostrate during radical surgery
Merryman,

Welcome! As you are probably aware small cell cancer is serious (as all cancers are). This one is way above my pay grade (no one is a doctor here) but, there have been a few with this type of cancer. I do know you want the very best hospital to handle this. As far as the keeping prostate, I am sorry, I just don't know. Hopefully, someone that has had this issue can chime in.
DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
The following user(s) said Thank You: Merryman

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4 years 9 months ago #57925 by Merryman
Removing prostrate during radical surgery was created by Merryman
I’m from the uk and have spent 2 years fighting micr papillary bladder cancer but having been given the all clear early this year it’s come come with a CIS warning and 3 high grade growths were found a month ago
I believe in the states the gold standard is the same as what we have
Everything is taken out
Bladder
Prostrate
Seminal vesties
Lymph Nodes
My question is if you’ve a healthy prostrate which shows no sign of cancer why does it need to come out and has anyone had this operation and kept the prostrate and is there any research details on the outcome of not taking the prostrate out ??
Thanks in advance

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