Pat of Brook - What are the various methods of treating prostate cancer in a man in his early sixties, who wants to remain active sexually. A man with organ confined disease on one side of his prostate would be a candidate for a nerve sparing prostatectomy. Other treatment modalities could include prostate seed implantation and external beam radiation. I am still convinced that surgery is the best treatment for males with organ confined disease. All treatments affect erectile function to some extent.
Younger men do better across the board than older men.
Remember, we are trying to treat the cancer and deal with the side effects afterward. If you have any more questions or concerns, feel free to come to my office. The detection rate increases when incorporating both tests and that is why it is important to get a yearly DRE and PSA by the same physician if you can. A DRE by itself can not demonstrate a cancer, you would need a biopsy first to prove it. Russ of New Berlin - I have an enlarged prostate and have received three Ultra Sound guided transrectal biopsies over the last four years.