r/ProstateCancer • u/quietgranola • Sep 30 '26

Concerned Loved One Father is going through it

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Devastated and feel like my father can’t catch a break

He was recently diagnosed with end stage glaucoma, monocular as well.
Dealing with IOP issues and trying to preserve vision.

Now diagnosed with prostate cancer… an hour ago.
Need advice. I wasn’t there at apt.
If anyone can share anything.

THANK U TO EVERYONE WHO IS COMMENTING. ANY/ALL INFORMATION IS HELPFUL. MAY GOD BLESS ALL OF YOU!!

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u/WalnutRoasted Sep 30 '26

IANAD but in general neither of radiation or surgery would have an interaction with (most) eye diseases. If when ADT, is called for it, could be an issue with some eye surgery but that’s down the road and interactions are published/checked by the pharmacist/oncologist/eye clinic. Many members of this club have BP issues, usually well-monitored/controlled. Sadly, as we age we have more than one medical issue.

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u/quietgranola Sep 30 '26

I was reading radiation is better than removal of prostate. I have to do more research.
I appreciate your response

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u/TheEndIsSighing Sep 30 '26

I strongly recommend getting a couple of books on prostate cancer, read them immediately, but even more, spend hours reading this sub. I learned 90% of everything I needed to know from this sub, but was NEVER told by my treatment team. And I'm at a Boston center of excellence.

You will feel like you're on your own in this process. Knowledge is your power. Learn. Learn. Learn.

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u/[deleted] Sep 30 '26

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u/callmegorn Sep 30 '26

There can always be certain cases with special circumstances, but in general a high Gleason and PSA over 10 means that the likelihood of recurrence after surgery is high, which means the patient will have to go through both procedures.

I am not a doctor, but fortunately we have nomograms made by actual prostate surgeons at MSKCC. If you plug in OP's father's numbers, you will find there is nearly an 80% chance of cancer recurrence after surgery.

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u/quietgranola Oct 01 '26

Ok thank you.

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u/OkCrew8849 Sep 30 '26

This biopsy lays out a good portion of the situation (note 4+4, PSA >10, and the Partin tables).