Salvage Prostatectomy

The Prostate Coach discusses having your prostate removed AFTER initial external beam radiation treatment. Biochemical recurrence following radiation is estimated to be as high as 60% over a ten year time span.
Salvage prostatectomy is a very different procedure than traditional radical prostatectomy because of resultant prostate and surrounding tissue scarring from radiation energy is often significant. This can result in increased risk of surgical complications like erectile dysfunction / injury to neurovascular bundle, incontinence, urethral stricture formation, and recto-urethral fistula formation.
Estimated one in seven men will be diagnosed with prostate cancer in their lifetime. An estimated 220,000 men in the U.S. will be diagnosed with prostate cancer this year. Prostate cancer can be a complex issue for the patient and his family to understand. There are many treatment options for prostate cancer including surgical removal of the prostate, external beam radiation (IMRT / SBRT), proton beam therapy, cryotherapy, hormone treatment, chemotherapy, focal treatment, and even not immediately treating prostate cancer for low risk cases (Active surveillance). Early detection of prostate cancer is important. Most prostate cancers are detected when the cancer is still contained within the prostate gland, but some cancers are advanced and have moved outside of the prostate gland (metastatic). Each person with prostate cancer has their own unique conditions and situations that can affect treatment decisions going forward. Cancer staging radiographs (CT scan, bone scan, PET scan, MRI, etc) is often done by the urologist that performed the prostate biopsy to assess for spread of cancer outside of the prostate.
Medical Disclaimer:
The Prostate Coach and Dr. William Stiles does not provide medical advice. The content available in our videos, on our website, or on our social media handles do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person. We intend to provide educational information only. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.
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[@shadowsonthecheap8361]

I am facing the opposite problem - salvage treatment after prostatectomy. The prostate was removed last November and in January when I saw my consultant he said I had metastatic cancer of the lymph nodes which will need treatment later down the line and my PSA was 0.1. I saw him again in May and the PSA had gone up to 0.12. He did say though, that having the prostatectomy first was a good thing, as had I had radiation first, he would have had great difficulty removing it after, confirming what you say here Dr. Stiles. Thanks for this channel.

[@theprostatecoach8058]

Thank you for your support !

[@derekgb3780]

In the UK our main State run NHS (National Health Service) won't conduct a prostatectomy AFTER radiotherapy.

[@theprostatecoach8058]

Thank you for your comment !