My father was diagnosed with a Gleason score of 10 this year.

When it’s this bad, ironically some barbaric options are off the table.

I was just diagnosed with 7/7.5 Gleason score prostate cancer (adenocarcinoma).

The barbarians are cutting it out in 4 weeks.

A life of pissing my pants beats dying before retirement.

I understand and agree. I was Gleason 7: 4+3 intermediate aggressive. Caught it very early, no spread, so RALP was performed 5 months ago. Now I’m deep in the throws of pelvic floor PT hoping to gain some semblance of control again.

Hopefully your surgeon has performed (unlike mine) more than 1000 RALPs - the incontinence outcomes improve greatly when their experience is that high.

Best of luck to you. DM me at gmail if you need/want to talk about your upcoming RALP.

I will do that. I am in a similar diagnosis.

I know someone who had the surgery 13 years ago and it went very well. But 5 months on for you, gives me the uneasies.

My dad had it 14 years ago. It’s been in remission and to my knowledge there’s no accidents and I don’t think he had many issues from the start.

There's a very good chance, 90% or higher, if you're under 70, not obese, and in general good health, that you will have no issues with impotence or incontinence after reovery from surgery.

This is really the best option for healthy fit people under 70.

90% or higher? No way, there’s not a credible large scale survey that makes that claim. Closer to 15-25% suffer from incontinence permanently. And 30-50% will have ED. And 100% of outcomes will loose inches.

50% of RALP patients will have biochemical reoccurrence within 8 years. It takes 15 years of low PSA (<.1ng/ml) to state you are cured.

The goal is to die with PaC, not because of it.

All of these stats are available at PCRI.

> The goal is to die with PaC, not because of it.

The reason many people die "with" it is because 67% of Americans are obese or overweight, and it usually dosn't show up 'til a person is 70. Of course these people die of something else first.

If a person isn't fat, and has no other health problems, getting it removed if it hasn't spread beyond the prostate is the best choice.

See: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917389/

> Several studies report a progressive return of continence up to one year after RP, with a continence rate ranging from 68 to 97% at 12 months [13,14,15,16,17], while a progressive further improvement could be registered up to 2 years [18].

Note that I qualified it with under 70, good health otherwise, and non-obese or overweight. If you're in that category, you are extremely likely not to have continence problems after a year.