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Video

Narrator V/O:
Three years ago, Barry Quienan was 50 years old, and never dreamed he could be struck with prostate problems.

Barry:
The word cancer seemed to stand about 7 feet tall and they seemed to scream out at me, you know. It’s a horrible word which just means to me: dying, death, er, being sick, chemotherapy, you know. God forbid if I go bald with it.

Narrator V/O: The news was even worse for Barry as he’s always looked after himself and is very young to have the disease.

Barry:
It was associated with old men, either in their 80s or 90s. I’d never in my wildest dreams ever considered it would happen to me.

Narrator V/O:
For the last 3 years, Barry’s prostate cancer has been monitored with regular blood tests. He’s had some very worrying changes to his condition recently, so has come to the clinic to see Dr Jessen.

Dr Christian:
Take a seat

Barry:
Thank you.

Dr Christian:
Right. So, three years ago you got this thunderbolt. What’s changed?

Barry:
Erm, I’ve now started having blood in the, em, the sperm.

Dr Christian:
You’ve never has this before?

Barry:
No:

Dr Christian:
So, you’ve been fine for years and years.

Barry:
I’ve now got this, erm, quite a lot of pain, headaches, em, I’m soon to be experiencing pain in the testicles, particularly behind the testicles.

Dr Christian:
It sounds to me like you’ve got a bit of, sort of, encroachment on the surrounding nerves and that’s why you’ve got pain. It would be better to do something a little more, er, permanent, like surgery, which would be to remove the whole prostate itself.

Barry:
Mm.

Dr Christian:
How important is this to you, can I ask?

Barry:
I’m in a long term relationship, you know, we’re both sexual people, erm-

Dr Christian:
I asked that because preserving sexual function is an issue where we need to think about which treatments are gonna be good for you.

Narrator V/O:
Barry really only has one option: to have his prostate removed surgically. This should get rid of the cancer but carries with it the risks of incontinence and impotence.
Having had his cancer monitored for almost three years, Barry has had to make a life-changing decision to have his cancer’s prostate removed and is off for the first meeting with his surgeon.

Barry:
It’s now quite clear that I am, you know, becoming very ill. Erm, surgery, or, erm, urgent treatment is required.

Narrator V/O:
Although the operation will rid Barry of his prostate and therefore his cancer, there are some major risks.

Consultant urologist:
That does bring us onto whether we should save the nerves that control the erections or not.

Barry:
Right, well I wish you would.

Consultant urologist:
On the, I think it’s on your right hand side-

Barry:
Yep

Consultant urologist:
There would appear to be the highest risk of some of the cancer having grown out of that and, um, on that side I’d be a bit reluctant to try and save the nerves.

Barry:
Er, I’ve been told, quite forcefully, by Mr Docherty, which is what he has to do, that I will have problems sexually, erm, will have problems with erections. Erm, was a bit of a shock, but I’ve got a choice, you can live or die, and I wanna live.

Narrator V/O:
So, with Barry facing major surgery to remove his cancer’s prostate and the risks that go with it, there’s only one place he needs to be: at his beloved Aston Viller with his closest mates.

Barry:
It’s a way to deal with it. There’s not point in er, sobbing and crying and, you know, reaching for the samaritans telephone every five minutes. It’s not what I do. Yeah, it’s something we discuss, but in a joking way.

Barry’s friend:
Like, don’t get a season ticket next year, ‘cause you might not use it.

Narrator V/O:
53 year old, Barry Quienan, is about to lose something much more than just his hair. He’s facing the operation to have his cancerous prostate removed and the risks that go with it.

Barry:
It’s the beginning of of of, getting the cancer out. I think on the ratio of being alive and having a good life and sex life, is no contest really.

Surgeon:
The main risk for him, I suppose, is that I won’t be able to save those nerves well enough for them to function properly so that he will end up impotent.

Narrator V/O:
His two hour operation will be done by keyhole surgery to try and minimise the damage to the nerves that control Barry’s erectile function.

Surgeon:
Very very pleased with that, em, for a number of reasons. One is that, er, er the prostate came away with no difficulties and also the nerve came off very easily.

Narrator V/O:
The operation has been a success but only time will tell if all the cancer has been removed and if Barry can have a healthy sex life again.
Barry Quienan is recovering after having his cancerous prostate removed and has come to talk to Dr Jessen about how he’s feeling.

Dr Christian:
How long’s it been since you had the operation?

Barry:
er, three weeks tomorrow.

Dr Christian:
How’re you feeling?

Barry:
I feel really well.

Dr Christian:
You do.

Barry:
You know, I feel, em, you know the future’s em, the future’s gonna be OK healthwise.

Dr Christian:
Have you had any erections since you had the operation?

Barry:
Sadly, no.

Dr Christian:
Not, OK.

Barry:
Mm, well I’m missing having that erection, you know.

Dr Christian:
I think not having one now is normal, after this sort of an operation, OK, so I’m not surprised. That can take a little while to to to get, so don’t panic about that. Don’t think you’re never ever gonna get an erection again. Do you regret having the operation?

Barry:
Not at all, erm. Personally, I feel I’ve beaten cancer. Erm. Yeah, I do, yeah.

Dr Christian:
So you’re happy you’ve made the right decision and you’re not looking back now thinking-

Barry:
No

Dr Christian:
No. That’s good. That’s good to hear.

Dr Christian:
I think Barry’s pretty extraordinary. He’s got a lot of masculine pride in there that I know has taken a real rattling and and a knock down or two. I’m sure that will come back. The erection thing, I know is gonna really bug him, but even that too I hope will improve over time.

Narrator V/O:
5 weeks after seeing us, Barry saw his surgeon again and heard that his cancer may have spread to the opening of his bladder. He’ll be closely monitored for a year and then will have further treatment, if required. So, Barry’s fight against cancer is still not over.

Read the video transcript

Consultation: Prostate Cancer

Dr Jessen treats a patient whose Prostate Cancer has worsened in recent months and must now consider the removal of the problem gland.

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Comments and Questions

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After 3 gold seeds implanted in my prostait,40 sessions of radiotherapy my psa reading was down to 0-03 second reading was0-01 which I was very pleased with.since I finished my treatment in October last year I have not been able to have a erection is this normal after treatment, my bowels and water work's are fine





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Prostrate removed in 2010, psa started to rise in February 2012 , by September had risen to 0.4, Changed my diet in September and started to take supplements ,the psa has stabled at 0.4 , the last 2 psa test (march and April 2013) show a reduction of the psa to 0.3. I was advised to have radiotherapy in September , but as I was on other medication for rheumatoid arthritis , this was not possible. Am I wise to keep taking the supplements and not have radiotherapy.





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I have had beam therapy for prostate cancer and now I have reduced control of my bowels. I get bowel movements that I cannot control, mucous and frequent wind. Are any of these symptoms curable, or even reduceable? Many thanks.





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My grandad whos 87 has prostate cancer and he has a psa level of 48 which has risen in 6 months from 32 he is now complaning of lower back pain and hip pain and now has to go for a bone scan im so scared as it has obviosly advaned dont want him to suffer this horrid disease





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My grandad whos 87 has prostate cancer and he has a psa level of 48 which has risen in 6 months from 32 he is now complaning of lower back pain and hip pain and now has to go for a bone scan im so scared as it has obviosly advaned dont want him to suffer this horrid disease





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hi i think i may have tesical cancer, On my left tesical, Im only 15, It feels likenthere are heaps of Maybe cysts in my left scromtum, And on the left side of my ball feels like ther eis a lump as i can kind of feel the line were i would think the ball ends. Wat should i do? and how to cell if i have tesical cancer, And when i LIke grab it too feel around i get sharp pains in my back and left side?





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it,s nothing to worry about well sence you say you are only 15 those things almost always happen,s when your 40 and up

Go to see your doctor. It is not something to ignore, and very young men can get testicular cancer. Best get it checked out!

i am having part of my prostate removed next month.family are saying i should try different options herbs etc.i have also heard that you can have problems after with your sex life ex getting a erection.love to here from someone that has been there.thanks





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I hada vasectomy 30 years ago. My seminal fluid has changed recently .There is far less on ejaculation and it now very runny. Is this linked to prostrate cancer?. If not what can be done.





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I was diagnosed with prostate cancer in 2000 ( my count was 10) to this day I fell that the count was not serious enough to take any immediate action but I was convinced by the Urologist to have the prostate "seeded" assured that this was the best method and the method with the least reactions - BULL- I have not had a hard erection since and my sex life was toatally ruined, thanks to advice given to me at the time and Now questioned.





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i had hormone treatment and 40 doses of radiotherapy in 2005 after being diagnosed with prostate cancer at age 57. the cancer had not spread. my PSA has been below 1 ever since. Incontinence and erection not a problem now only dry ejaculation as my prostate has been descibed as the size of a shrivelled pea ! Only symptom was a slight reduction in flow - don't put off going for that PSA test !





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Couldn't agree more get a PSA test done. If you are over 40 or have some of the symptoms get yourself checked out. A PSA test is the simplest way to initiate this. The internet is fully of hype about PSA tests being of no value but that's total nonsense in my view. A PSA test can be the first indicator that there is something amiss and do something about it. Go to your GP, or your chemists or Boots they have tests you can buy or if you are shy (and you shouldn't be) on the internet e.g. http://www.checkmybody.co.uk/PSA-Prostate-health-test.html. Whichever way you choose for me it's a no brainer for men like us of "a certain age".


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