Do hormones help before a prostatectomy?
Question: I have an enlarged prostate as well as localized prostate cancer. Someone in my prostate cancer support group mentioned that hormonal therapy would be helpful to take before my radical prostatectomy. Is it useful to take hormonal therapy before surgery? Answer: Thus far, there has been evidence that the tumor may be down-staged if hormonal therapy is given before surgery. However, time to PSA progression has not been changed with hormonal therapy before radical prostatectomy versus prostatectomy alone. Therefore, most urologists do not recommend taking hormonal therapy before this surgery.