I am 62. How to manage prostate cancer of Gleason score 7?

Question

Hello doctor,

I recently received my biopsy results, which confirmed prostate cancer with a Gleason score of 7 (4+3). My PSA level is 6.2 ng/mL. I am 62 years old, otherwise healthy, but feeling overwhelmed by this diagnosis. My urologist discussed several treatment options: surgery, radiation, and active surveillance. Each seems to have different side effects and success rates. My main concern is choosing the proper treatment while maintaining a good quality of life. I am particularly worried about potential side effects like incontinence and erectile dysfunction. How can I make the best decision for my situation? Kindly provide your insight.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Prostate cancer is a type of cancer that develops in the prostate gland, a small gland in males that produces seminal fluid. It is typically a slow-growing cancer, especially in older individuals. Prognosis and treatment depend on the biopsy results (Gleason score) and imaging reports, such as PET (positron emission tomography) or CT (computerized tomography) scans.

For localized prostate cancer (confined to the prostate gland and has not spread), surgery (prostate gland removal) or local radiotherapy is often the first line of treatment. In some cases, active surveillance (a wait and watch approach) may be appropriate, particularly for patients with less aggressive disease.

For metastatic prostate cancer (prostate cancer that spreads beyond the prostate gland to other parts of the body), hormonal therapy (medical or surgical castration) is usually the primary treatment option.

Most patients with prostate cancer live many years, and in early-stage cases, survival often exceeds 10 years.

A healthy diet for prostate cancer includes plenty of vegetables and fruits, staying well-hydrated, and avoiding red meat.

Erectile dysfunction (inability to achieve or maintain an erection sufficient for sexual activity), if it occurs, can be effectively managed by your urologist with medications and psychological support.

I hope this helps.

Please revert so I can assist you further.

Thank you.