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Doctor insights on: Can You Have Prostate Surgery After Treatment With Radiation

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Can you have prostate surgery after treatment with radiation?

Can you have prostate surgery after treatment with radiation?

Yes: It has been done but really no surgeon wants to do it because there will be too many problems and it's difficult because of the scarring and loss of tissue planes needed by the surgeon. So many will not advise it. But has and can be done. I don't advise it. ...Read more

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Dr. Ana Adelstein
7 doctors shared insights

Prostate (Definition)

The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more


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Can you get surgery while having radiation treatment?

Can you get surgery while having radiation treatment?

Possible: Surgery is possible and can be done if emergently necessary. Surgery in the radiation- treated area can increase risks of wound healing, bleeding, infections. Surgery in the non-radiation area is much less problematic. Typically radiation is not interrupted as results are inferior in patients who have radiation treatment breaks. ...Read more

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Can you have a kidney transplant while undergoing radiation treatment?

Can you have a kidney transplant while undergoing radiation treatment?

Need specifics.: If you are receiving radiation treatments to treat a cancer, it would depend on the type of cancer, where it was located, and the success of it's treatment. You should discuss this with your transplant team. ...Read more

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How long can a person with pancreatic cancer be expected to live without surgery and only with chemo therapy ?

How long can a person with pancreatic cancer be expected to live without surgery and only with chemo therapy ?

Depends: This really depends on the patient's given clinical situtation including the extent of their disease, other illness that he/she may already have, and their performance status (how well they can or can not do things on their own) but a rough estimate would be about a year. ...Read more

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I have a recurrent colorectal cancer. Just finished with chemorad. Waiting to go for surgery however doctor mentioned stenting uterus during surgery.

I have a recurrent colorectal cancer. Just finished with chemorad. 
Waiting to go for surgery however doctor mentioned stenting uterus during surgery.

Stenting ureter!: I think you mean stenting ureter, not uterus! ureter will be stented in cancer operation to avoid any injuries to the ureters. during cancer operation they do a lymph node dissection and they stay wide away from the colon for a good clean margin and to surround the cancer lymphatic drainage.and if there is a local spread to surrounding tissue, ureter will be vulnerable for injuries. ...Read more

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What can be expected with surgery for testicular cancer?

What can be expected with surgery for testicular cancer?

Small groin incision: Incision is made in the groin to secure blood supply from testicle before testicle is pulled up in to groin & out of the incision, to prevent spread. You will lose the affected testicle, which can be replaced with a prosthesis, if this is important to you. Post-operative pain should not be severe. Further treatment by radical lymph node dissection depends upon cancer type &/or nodal involvement. ...Read more

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Can you still have cancer after chemotherapy and a mastectomy?

Can you still have cancer after chemotherapy and a mastectomy?

Cancer recurrence: Unfortunately, the answer to the question is "yes", depending on the extent and aggressiveness of your cancer. Breast cancer may recur within the mastectomy wound itself or within another organ (e.g., bone, liver, lung). Chemotherapy and anti-estrogen therapy are given to reduce the risk of cancer recurrence throughout the body, but these treatments are not always completely successful. ...Read more

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Will I be able to perform sexually after I finish radiation treatment for prostate cancer?

Will I be able to perform sexually after I finish radiation treatment for prostate cancer?

Usually: Usually after external beam radiation treatments to the prostate, sexual function is preserved although the ejaculate volume will decrease to almost nothing. ...Read more

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Will i need surgery in the future after being diagnosed with a cataract?

Will i need surgery in the future after being diagnosed with a cataract?

No.: A cataract is a clouding of the lens inside your eye. As long as you are able to see to perform your daily activities, the cataract can just be observed. When you started having visual difficulties, then it is reasonable to discuss cataract surgery with your ophthalmologist. ...Read more

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Will having sex too soon after tumt procedure for enlarged prostate cause any problems with recovery? Please be specific.. Had tumt 1/10/2014.

Will having sex too soon after tumt procedure for enlarged prostate cause any problems with recovery? Please be specific.. Had tumt 1/10/2014.

No: Having relations too soon after a prostate procedure can be painful and can result in blood in the semen but otherwise will not cause any particular harm. ...Read more

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Can women get radiation treatment and chemo while enduring a radical vasectomy?

Can women get radiation treatment and chemo while enduring a radical vasectomy?

Here are some...: Known to us, vasectomy is the surgical means to interrupt sperm transportation for sterilization. I my 46-yr study and practice in urology, I could have remembered any occasion talking about "radical" vasectomy. Besides, are you worrying about radiation and chemo to your partner while her man being treated with both for testicular cancer? So, please detail the specifics and relevance of the Q? ...Read more

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After treatment for testicular cancer with etoposide and cisplatin can you develop a delay in gastric emptying? Will this go away?

After treatment for testicular cancer with etoposide and cisplatin can you develop a delay in gastric emptying? Will this go away?

Good Q, but...: First, I would like to salute you for well coping with the care for testicular cancer. However, there would be no straight answer to your Q since life is a one-way street of accumulation, modification, & continuation. Hence, discuss this with your doc; that is most logical to do. Besides, exploring more on life reality will help further on how to cope as in http://formefirst.com/onLifeBasics.html. ...Read more

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How many yrs can you live if your testis cancer is dignose and cure at early stage without need of surgery but with drug and chemotherapy?

How many yrs can you live if your testis cancer is dignose and cure at early stage without need of surgery but with drug and chemotherapy?

Expect normal life: Hey big fellow -- Congratulations on successful treatment of testicular carcinoma, and keeping the testis. I trust your physicians practiced evidence-based medicine and that you've been tumor-free for the two years that usually means cure with testicular CA. I'm also sorry they didn't tell you to expect a normal, full-length life as are the odds for any other guy. Work hard to be happy. ...Read more

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Will i need to stop taking my prostate medication before surgery for my cataracts? I'll need cataract surgery in the coming year. I take flomax (tamsulosin) for an enlarged prostate. Does this or any other drug cause a problem with cataract treatment? .

Will i need to stop taking my prostate medication before surgery for my cataracts? I'll need cataract surgery in the coming year. I take flomax (tamsulosin) for an enlarged prostate. Does this or any other drug cause a problem with cataract treatment? 

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I : I agree---going off the medicine does not good. Just let your doctor know that you are on it and he can take the necessary operative precaustions during the surgery. Don't let this stop you from having the surgery that will improve your vision. ...Read more

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Can you have gastroparesis long term after treatment for testicular cancer with etoposide and cisplatin chemotherapy? What do you do for this if so?

Can you have gastroparesis long term after treatment for testicular cancer with etoposide and cisplatin chemotherapy? What do you do for this if so?

Not related: Gastroparesis is an ill defined entity of unknown cause. So I would not worry about it. Symtomatic treatment to control your acidity or anorexia may help. Do you have a gastroenterologist treating you for this problem? ...Read more

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Can you survive with recurrent cancer after chemo and mastectomy?

Can you survive with recurrent cancer after chemo and mastectomy?

It is posswible.: If the cancer only came back locally and there is no evidence of spread, say on a pet scan, then survival after local surgery, chemotherapy (and possibly radiation) is possible. ...Read more

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Is it ever possible to treat cancer with just radiation and no surgery or chemo?

Is it ever possible to treat cancer with just radiation and no surgery or chemo?

Yes, in some cases: In certain situations, such as early disease (stage 1 indolent lymphoma) , less aggressive cancers (grade 1 brain cancers), cancers requiring organ preservation (early head and neck cancers)radiation alone can be effective and curative. Newer radiation approaches (e.g. Cyberknife) hold the promise for increased benefit when used alone. ...Read more

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Can you have radiation treatment while receiving chemotherapy?

Can you have  radiation treatment while receiving chemotherapy?

Yes: Your radiation and medical oncologist should coordinate whether this should be done. Some cancers doing the treatment at the same time gives the best result while other cancer doing them in succession is best. ...Read more

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Can polyps spread after a hysterectomy surgery and should I be tested?

No: Polyps in the uterine cavity are not uncommon as a cause of abnormal bleeding. They are unrelated to polyps in the colon and do not "spread". Although there are often less invasive ways to remove polyps, a hysterectomy has certainly cured the problem. ...Read more

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My dad (age 61) has aggressive stage 4 prostate cancer after radical prostatectomy, and will not get any treatment. How long is he likely to live?

My dad (age 61) has aggressive stage 4 prostate cancer after radical prostatectomy, and will not get any treatment. How long is he likely to live?

Here are some ...: Sorry to hear the sad news of your dad. Who decided not to get any Rx? Your dad or Doc or both? If Doc or both, he would be in the real terminal stage & hard to live longer than 4-6 months; if by himself & still fighting to live on, he may still have some existing strength to live > 6 months. So, ask Doc along the course of his last days of life so he may cope with such to preserve quality dignity ...Read more

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Can you have prostate surgery after treatment with radiation?

Yes: It has been done but really no surgeon wants to do it because there will be too many problems and it's difficult because of the scarring and loss of tissue planes needed by the surgeon. So many will not advise it. But has and can be done. I don't advise it. ...Read more

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73 year old male with PSA 20, Gleason 7, prostate adenocarcinoma Choice of surgery or radiation with hormone therapy Which do I choose?

73 year old male with  PSA 20, Gleason 7, prostate adenocarcinoma
Choice of surgery or radiation with hormone therapy
Which do I choose?

Prostate: Ask your doctor for the names of several patients who have done these procedures and speak w/them. They will give you personal responses to each procedure which can help you w/decision making. Peace and good health. ...Read more

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Which treatment is better for Prostate cancer - Stage 1? Surgery for prostate removal or Radiation therapy with some medication?

Which treatment is better for Prostate cancer - Stage 1? Surgery for prostate removal or Radiation therapy with some medication?

It is debatable: This is a common dilema as both treatment types(surgery and Radiotherapy) give equally good results. The chocie between the two is based on your Age and personal preference. I would advise you to meet with both specialists ,and go for surgery if your age is ...Read more

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My dad is 85 yrs old and has prostate cancer , started radiation treatment for 9 weeks mon-fri, isn't he to old to be receiving that much radiation?

My dad is 85 yrs old and has prostate cancer ,  started radiation treatment for 9 weeks mon-fri, isn't he to old to be receiving that much radiation?

May be unnecessary!: It is reasonable to question this. Most prostate cancer is relatively benign and may exist for decades without spreading or killing someone. 80% of 80 year old men have prostate cancer (!) and very few of them will die from it. Radiation therapy can cause serious side effects. Your dad may be better off without any radiation! Get second opinions. If he goes ahead see http://tinyurl.com/hhcnc99 ...Read more

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How effective is radiation treatment of prostate?

How effective is radiation treatment of prostate?

Talk to a specialist: Radiation therapy is an effective form of prostate cancer treatment. No head to head trials with other forms of therapy, including surgery, have yet been performed, but it is one of several options for treatment. Ultimately, cure depends on disease biology: the grade and stage of the cancer. And there are different forms of radiation treatment, usually requiring hormonal therapy in combination. ...Read more

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After prostate remove surgery by robot in jan.All done supplemental radiation june 24th. 50 years old in sept, what kind of exercise is best 268#5'8"?

After prostate remove surgery by robot in jan.All done supplemental radiation june 24th. 50 years old in sept, what kind of exercise is best 268#5'8"?

Kegel's: Pelvic floor exercises are important for regaining / maintaining urinary continence. Six weeks post-operatively, barring other medical problems, full return to any form of exercise is acceptable. Pick something you like and will stick with. ...Read more

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Which is better: prostate radiation or hormone treatment?

Which is better: prostate radiation or hormone treatment?

Prostate radiation o: This depends on many things - the gleason rating score, your age and whether there is spread. Some schools believe in using both. Radiation is usually for 40-44 treatments. Hormone treatment is more common when you are older. Outcomes have not shown hormone therapy to be superior. ...Read more

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If I chose radiation over surgery for prostate cancer and the cancer came back. Would that mean my body would get too much radiation?

If I chose radiation over surgery for prostate cancer and the cancer came back.  Would that mean my body would get too much radiation?

Talk to doctor: Generally speaking, the doctors only treat the body with as much radiation as it can tolerate. Nothing is absolutely certain in this life and cancers do recur after radiation treatment. They also can recur after surgery. ...Read more

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Dad had prostate removed in 2004. Psa rose in 2013 prompting radiation. First psa after treatment .05. Docs want it at 0.00. Should he be worried?

Maybe: That's a long gap between surgery and radiation. He must have had scans determining psa rise was still local. It's a tough call whether to put him on long term hormone therapy for a psa of 0.05. Lots of major health risks with hormones. He needs to exercise daily, eat a high fresh/frozen vegetable diet and follow the psa trend closely. If he has significant heart disease already, avoid hormone rx. ...Read more

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How do you choose between surgery and radiation for localized prostate cancer when both have similar success rates and side effects??

How do you choose between surgery and radiation for localized prostate cancer when both have similar success rates and side effects??

Let's discussfurther: The answer to your question is out of scope for this forum. Unfair to answer question in the 400 characters allowed. Treatment is individualized. Happy to review in a consult request. Can review all your particulars. Good luck ...Read more

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Will I be able to perform sexually after I finish radiation treatment for prostate cancer?

Usually: Usually after external beam radiation treatments to the prostate, sexual function is preserved although the ejaculate volume will decrease to almost nothing. ...Read more

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What to do if I'm a 58 year old man with prostate cancer , I'm undergoing radiation treatment and lupron (leuprolide) ,i get hot flashe?

What to do if I'm a 58 year old man with prostate cancer , I'm undergoing radiation treatment and lupron (leuprolide) ,i get hot flashe?

Side effect: The most common side effect of Lupron (leuprolide) is hot flashes. Unfortunately there is not much to do about it. The good news is that Lupron (leuprolide) is stopping your prostate cancer from being active. Lupron (leuprolide) in addition to radiation has been shown to work better than radiation alone for some patients with prostate cancer. ...Read more

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I had prostate cancer radiation treatment 2yrs ago, semen is still yellowish. Is it normal?

I had prostate cancer radiation treatment 2yrs ago, semen is still yellowish. Is it normal?

Yes: Radiation therapy for prostate cancer will ofter permanently change the color, amount, and consistency of the ejaculate. If you are concerned, speak with your radiation oncologist or urologist. ...Read more

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I've survived prostate cancer for 5 years now after radiation treatment, but with the usual side effects. Is it harmful to masterbate?

I've survived prostate cancer for 5 years now after radiation treatment, but with the usual side effects. Is it harmful to masterbate?

No, please enjoy: There is no reason not to masturbate, and healthy to have the urge. Is there any chance you might find or have a partner, that might be better. ...Read more

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I had prostate cancer radiation treatment, last psa test was .58. If cancer do reoccur what kind symptoms will i get physically, feel, notice etc.?

Varies: If you are following psa, and your cancer recurs, vey often the patient is asymptomatic - the only symptom may be anxiety about the test result. Otherwise symptoms have to do with sight of recurrence- most common is bone pain or fracture. ...Read more

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64 yr. Old man with prior successful prostate cancer radiation treatment 3 yrs ago. Solar plexus pain. What organ if concern with cancer?

64 yr. Old man with prior successful prostate cancer radiation treatment 3 yrs ago. Solar plexus pain. What organ if concern with cancer?

May be...: After a successful rt for prostate cancer(pca), the patient will still require a lifelong f/u for possible rising psa after definitive rx; it's reasonable to do so every 6 months for the described one by repeating psa and with clinical assessment. Solar plexus pain is very unlikely related with pca. Instead, consider hypertension-related or idiopathic. Pca-related pain occurs in its late stage. ...Read more

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I am having bone pain here and there, did prostate cancer radiation treatment 2 yrs ago. Psa ok, 0.5 now. Initial psa 7.20, gleson 7 during treatment.

I am having bone pain here and there, did prostate cancer radiation treatment 2 yrs ago. Psa ok, 0.5 now. Initial psa 7.20, gleson 7 during treatment.

Get checked: Too many possibilities. Included are osteoporosis, low vitamin d, hyperparathyroid. Many metabolic causes. Also to be considered is involvement of bone by prostate ca. A simple evaluation goes a long way to answer these questions and allay any fears of cancer recurrence. ...Read more

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