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by fortran77 830 days ago
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.
1 comments
stergios 830 days ago
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.

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fortran77 830 days ago
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.

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fortran77 830 days ago
> 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.

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