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PCRI's Executive Director answers patients' questions about chemical castration vs. orchiectomy, Casodex alone in elderly men, and the value of prophylactic pelvic lymph node radiation vs. the risk of side effects. 0:03 Is hormone treatment the same as orchiectomy (removal of the testicles)? 1:00 Once 2nd generation hormone therapy is discontinued, will men be able to regain their testosterone? 1:32 My father is 86 and has prostate cancer in his lymph nodes. His urologist wants to start Lupron, but I am worried about his quality of life. Would it be safe to try Casodex for a month, check the testosterone and the PSA, and see if the Casodex alone is enough cancer control? Also, should he consider radiation to the pelvic lymph nodes? 2:53 What are the possible side effects of radiation to the pelvic lymph nodes? My doctor wants to do it prophylactically, but I am worried about the side effects and would rather wait and see if any disease appears on scans before treating them with radiation. Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org To learn more about prostate cancer visit http://www.pcri.org Who we are: The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors. The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs. #ProstateCancer #MarkScholzMD #Prostate