With the alternative treatments, my PSA dropped for a time but then began to rise steadily. In 2017 I returned to my urologist and was referred to our public health system for surgery. Surgery wait time was 7 weeks and I had open surgery.
Post op histology returned Gleason Grade 9 (4+5) with peri-neural invasion and extra-prostatic extension.
My high Gleason score, and the identification of cancer cells beyond the prostate itself, were signs that the initial surgery might not be enough. Indeed, after surgery, as expected, my PSA dropped to 0.2. But then it began to climb again and I needed further treatment.
In 2018 I had radiation treatment to the prostate bed (that’s the area around where the prostate was removed) and 12 months of ADT via the hormone-suppressing drug Zoladex. It was an anguished and distressing experience.
After ADT it took about 18 months for testosterone levels to recover and libido to return. Physical impact on my strength and endurance during that time was also a heavy burden.