Comments on: Dr. Myers, I was told Monday my biopsy is positive for PC. I just turned 64 and I am fit, trim, healthy and sexual(every day). I hike, bike, jog, and walk a lot and occasionally ski. I currently have no ED and my erect penis is the same size as it was in my teens. By Internet standards it is larger than norm, (14.5cm circumference 17.5cm length) so I would think the muscles, blood supply and nerves must be in good shape to still have no problem getting it all the way up. My urologist has recommended radiation therapy. He said they don’t recommend surgery for patients over about 55yo because the outcome isn’t good leading to incontinence and ED. Do you agree? He says they have very good outcomes with few side effects from radiation therapy, but progressively over a period of a few years the side effects of radiation causes ED. He was not specific as to how I would cope with the ED and I really didn’t ask. Any thoughts? I asked is I should try to go the our NIH designated Cancer Center at UCSD and he said their experience at their hospital based Cancer Center with their radiologist was very good and the equipment is state-of-the-art. It is an Accredited Hospital based Cancer Center but not our NIH designated. He was very negative about robotic da Vinci and said after a few years they have to do a lot of artificial sphincter replacements trying to control incontinence and those patients usually also end up with about the same ED as they see from radiation – particularly when they are over 60yo. He was a bit more positive about the open procedure with a really good surgeon, but still implied that long term patient response was iffy regarding ED and incontinence. Do you agree? He did get me referral to a surgeon and radiologist (both next week). The surgeon he referred me to has been recognized as one of the best urologist in San Diego County (Dr. McIntyre) and he has done some 500 da Vinci procedures plus open. These doctor practice at a Sharp Healthcare, a very large community network with several mega hospital complexes and numerous patient clinic throughout the county, but their hospital based Cancer Centers are not NIH designated – So, do you recommend I try to go to the NIH CCC at UCSD? Also should I be exploring Proton Therapy or is IGRT/IMRT Photon Therapy still considered about equivalent? Thank you Don BlackShear

Comments on: Dr. Myers, I was told Monday my biopsy is positive for PC. I just turned 64 and I am fit, trim, healthy and sexual(every day). I hike, bike, jog, and walk a lot and occasionally ski. I currently have no ED and my erect penis is the same size as it was in my teens. By Internet standards it is larger than norm, (14.5cm circumference 17.5cm length) so I would think the muscles, blood supply and nerves must be in good shape to still have no problem getting it all the way up. My urologist has recommended radiation therapy. He said they don’t recommend surgery for patients over about 55yo because the outcome isn’t good leading to incontinence and ED. Do you agree? He says they have very good outcomes with few side effects from radiation therapy, but progressively over a period of a few years the side effects of radiation causes ED. He was not specific as to how I would cope with the ED and I really didn’t ask. Any thoughts? I asked is I should try to go the our NIH designated Cancer Center at UCSD and he said their experience at their hospital based Cancer Center with their radiologist was very good and the equipment is state-of-the-art. It is an Accredited Hospital based Cancer Center but not our NIH designated. He was very negative about robotic da Vinci and said after a few years they have to do a lot of artificial sphincter replacements trying to control incontinence and those patients usually also end up with about the same ED as they see from radiation – particularly when they are over 60yo. He was a bit more positive about the open procedure with a really good surgeon, but still implied that long term patient response was iffy regarding ED and incontinence. Do you agree? He did get me referral to a surgeon and radiologist (both next week). The surgeon he referred me to has been recognized as one of the best urologist in San Diego County (Dr. McIntyre) and he has done some 500 da Vinci procedures plus open. These doctor practice at a Sharp Healthcare, a very large community network with several mega hospital complexes and numerous patient clinic throughout the county, but their hospital based Cancer Centers are not NIH designated – So, do you recommend I try to go to the NIH CCC at UCSD? Also should I be exploring Proton Therapy or is IGRT/IMRT Photon Therapy still considered about equivalent? Thank you Don BlackShear http://prostatecanceradvice.org Prostate Cancer Prognosis, Questions and Answers Tue, 05 Jan 2010 06:25:54 +0000 hourly 1 http://wordpress.org/?v=3.0.3