I was diagnosed with stage T3c prostate cancer seven months ago, after DRE found a nodule and a lab found a PSA blood level of 185 (anything above 4 is dangerous or at least a red flag).
I am classified as "locally advanced" as opposed to "distantly advanced" because the cancer has not been detected in my bones or organs, but was found outside of the prosate capsule in my seminal vessicles and there was evidence of close-by lymphovascular invasion. The extremely high PSA along with the seminal vessicle invasion are considered markers that indicate the probability of micrometastisis which, if it did in fact occur, essentially dooms me to being killed by this mindless predator.
My possible surgeon has told me in writing that I am 'unlikely to be cured of the cancer with any modality." Also, I am still obese. Though I went down from 290 lbs to 240 lbs since diagnosis, that is still a matter of concern in terms of my potentially dying on the operating table or, if that doesn't happen, having serious post-operative complications.
He is not sure he will do the surgery for me. First he said he had to be sure I was physically up to the surgery. After I had heart tests and stress tests and blood tests, etc., he said he still feels it is very risky. My next hoop to jump through is to see a psychiatrist who will decide whether I am competent to choose a surgery that has, at least at my current weight level, a greater chance of killing me than curing me.
But apparently surgery is the only thing that might cure me. The othe "modalities" don't even offer the ten percent chance surgery does.
I have two diseases. The cancer. And the cancer treatment. It is a shot I get every three months, and it cripples me inside. My life is a desert without love now. It takes away my testosterone, because that feeds prostate cancer cells. So now I am totally impotent and almost entirely without desire. Also, my capacity to experience pleasure is nearing zero (my testosterone was at 30 nanograms per deciliter last check and is still falling). So my heart is broken. I'm a very romantic and sexual person. Or rather I was. Now I don't even feel like a person, but like a thing.
So I need help and advice for both my diseases. For my prostatge cancer, stage T3c, most Gleason scores and grades at 8. Any cures? Any potential cures or clinical trials?
And also anything that might increase my desire or my ability to feel pleasure (it would be too much to ask for poetency, I'm sure). It is strange, I have little and most of the time no desire, but I have great desire to have desire.
Thank you.