He had a bone scan in between to alleviate his mind the month before surgery. In order to have the best possible results from nerve sparing techniques, you have to prepare the body.

The scans will add information on cancer's location. And this mindset continues today - he still works out 7 days a week. Day 3-Day 4 are the worst for pain. The most aggressive localized prostate cancer has a Gleason score of 9-10. Under Armour and Duluth Trading Company. Today are the scans the Friday the Oncologist appointment at Sloan Kettering. MSKCC is a great place that I also considered for my procedure before ending up at Penn Medicine. Granted, this personality made it difficult to handle the lows of the journey but it also made him work harder to achieve every goal set. https://www.mskcc.org/cancer-care/types/prostate/treatment/systemic-therapies, I just found this group tonoght My husband is 65 He is diagnosed with prostate cancer that has spread to his bones and pelvis as well His PSA is 23 He had biopsy in April along with bone scan and MRI He had a pain pump unplanted 2 weeks ago to control pain as Oxycotin was not helping He recently had a  3 injections at cancer center I do not have the names with me but I know after a month he is going to start Fermagon?? His doctor's recomendation for not proceeding with surgery is based on the results of the biopsy. We met with Dr. John Mulhall - probably the worlds leading authority oncologist specializing in ED. The cells look less like normal prostate cells. They will want to run his biopsy through their systems and come up with their own diagnosis and plan. The two grades added together are your Gleason score. The important thing is not to get ahead of yourself with worry. Dr. Edhaie took his time to go ml by ml to preserve the nerve bundles and make sure all of the areas surrounding the prostate were "clean". Plus Dr. Edhaie is one of the highest funded research oncologists  - he eats, breathes, and sleeps on ways to improve techiques/cures. Gleason 9 is aggressive and the fast increase of the PSA may indicate that the cancer has metastasised to lymph nodes. I will pray that your outcome is as good ours. Started therapy pre-surgery to help increase blood flow to the area, and build up muscle. It is not a substitute for professional medical advice. Due to my husband's father having barbaric surgery over 26 years ago, he was beyond devasted at the thought of a prostatectomy. We also reached out to Futterer Jurgen at Radboud University Nijmegan Netherlands for ablation therapy as well, and was accepted. He had to lose weight, get in the best physical shape of his life, and change bad habits to good habits. Apparently, the local oncologist hit gold with his biopsy by hitting this Gleason 9 at early cellular level. Started traveling again for work. Unfortunately your children are also at the same risk and should be more vigilant against prostate and breast cancer as these share the same genes. What a Godsend for sure. He told us to go to a cancer institute. I am hopeful this story will help anyone new to this board to see that positive outcomes are achievable and realistic with prostate cancer. I'm swamped at work, but wanted to give you and your husband encouragement and hope. He's at 70 pounds down now. That sounds a bit nasty but PSA scores are only indicative, they do not relate that well to what the cancer is really doing.You need to wait to see the scans to find out what you are dealing with. Gleason score 8 (or 4 + 4 = 8) Grade Group 4. It is entirely possible to have an aggressive cancer that is still confined to the prostate, and therefore treatable and possibly curable. I will try to find my previous posts and copy here. Bladder clean. Your surgeon gave you excellent advise about going to a cancer center, and Sloan Kettering is one of the best.

Best decision we could have made. I would also encourage you to have Dr. Epstein @ Johns Hopkins review his biopsy for his score and grading after your MSK visit. Dr. Laccetti is a medical oncologist.

Treatment with radical prostatectomy (RP) plus adjuvant external beam radiotherapy (EBRT), androgen deprivation therapy (ADT), or both (MaxRP) provides equivalent survival outcomes as EBRT, brachytherapy, and ADT (MaxRT) in men with Gleason score 9–10 prostate cancer, according to a new study published in JAMA Oncology. We are beyond thankful for the worry wart urologist that I feel saved my husband's life! In lieu of having the "big" biopsy, he chose to have Dr. Joseph Busch do several MRI's, and two MRI guided biopsies - Active Surveillance. We are eternally grateful for the expertise in Prostate Cancer treatment at MSK. © 2020 MJH Life Sciences™ and . Dr. Behfar Edhaie at Memorial Sloan Kettering talked at length with my husband. We both knew this was serious. The CT and BS scans have limited capability in detection but they will help in judging your husband's status. I cannot stress enough about going to physical therapy PRE-surgery and POST surgery. It was going up every 2 weeks, it stated at 4 in December then went To 9, then went to urologist January 8.