Questions: Health & Fitness

New Zealand's first transgender weightlifter Laurel Hubbard will be competing soon at the Commonwealth Games. Ms Hubbard is first transgender athlete to represent New Zealand at international level and she will compete in the over-90kgs category.

She competed at national level as a man before transitioning in her mid-30s, and complies with all physical conditions put in place by the International Olympic committee.

So you have penile cancer. The doctor below tells u that the cancer is very aggressive and has already locally metastasized to your inguinal lymph nodes.
She offers you the option of having penectomy (penis removed), followed by adjunct radiotherapy to the pelvic region and 3-4 weeks regiment of chemotherapy (5-FU and cisplatin), along with some anti-emetic, and PPI. If you accept, she will explain the surgery, risk, complication and reason for doing it to you and ask you to sign a consent form after which you will be given a date to come back to do the surgery. Going through with the surgery gives you 90% 5-year survival and high chance of surviving the cancer.

If you reject, then all she can do is treat you palliative and offer you chemotherapy, radiotherapy and treat any symptoms that may develop as the disease progresses. Your 5 year survival rating drops to 15% and you are highly like to die with 1-2 years.

What would you decide?