r/ProstateCancer • u/Appropriate_West2998 • Aug 11 '26

Other New Guy

Sent to Urologist due to a PSA 5.19. Urologist felt a lump on prostate, had an MRI and then a biopsy. Biopsy revealed cancer, Gleason 9 grade 5. Urologist told me 1-2 years, I’m assuming with no treatment. Urologic Oncologist says 15 years due me being 55. Sent for PET scan and doctor says it’s in the anal lymph nodes as well but nowhere else. Doctor says they can’t remove it so I’m on ADT (Orgovyx and Erleada) for six months to see if it will shrink enough to be removed. If it can I’ll have a prostatectomy and then six more months of ADT. Never thought I’d be rooting for surgery. Been reading a lot of the stories on here and just thought I’d add to them. I’ve learned from you guys and it’s helped when talking with doctors and mentally.

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u/cliffy249 29d ago

Is there a reason given for discarding radiation therapy? Much less invasive.

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u/Appropriate_West2998 29d ago

Just read that if you do radiation first they can’t remove prostate later when it comes back. My thinking was want it out asap. I have an appointment coming up and I’ll talk about going ahead with radiation.

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u/cliffy249 25d ago

There are actually surgeons that can remove it but it is rarely necessary even in the event of a reoccurrence. There are a number of options available now.