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Help With Decision

User
Posted 13 Jan 2021 at 21:05

Just my experience..when diagnosed I was 52 and final histology showed localised T2c (3+4) all negative margins. I was advised against brachytherapy by my urologist on the basis of perceived increased risk further down the line in terms of secondary primaries with patients <60yrs.

User
Posted 13 Jan 2021 at 21:34

Hi Philip, 

I had brachy and am pleased with it. I think one of your questions is "can you have stronger RT if the first treatment fails?" I'm not 100% sure of the answer, but apparently there is a life time limit to how much radiation certain bits of your body are ever supposed to get, so as a general rule once you have RT to your prostate your up to that limit, and you shouldn't have any more to that area of the body. I have never found any reference to what the limit is in greys, nor can I see the logic in leaving someone with a cancer that will kill them, rather than zapping them with even more x-rays and taking them above the lifetime limit, which might also kill them, but might not.

BTW you might want to start your own thread on here, introduce yourself with your diagnosis, that way your questions and "story" all ends up in one place and you can refer back to it, a bit like a diary. 

Dave

User
Posted 13 Jan 2021 at 21:47

I'm no expert but Brachytherapy not the gold standard for all cases. 

I expect my cancer was too extensive. My initial diagnosis from MRI and then targeted biopsy was cancer on left side apex. As it turns out I had positive margins at the bladder base, and I think prostate bead.

As has been mentioned in other answers. There is a life time limit on RT. So can't have repeats on same area.

There are focal therapies that I don't know anything about. I have read these been repeated on different areas.

Jim

User
Posted 13 Mar 2021 at 11:21

Hi apologies first time post.

My details. Age 75, Gleason 3+3, cancer on left side only. Biopsy taken 5 each side. Right side clear, left side 3 of 5 showed cancer. It was Put at Gp1. But urologist felt on digital examination so though would be Stage 2. Bone scan just come back clear. Complication is I am stuck in Spain, combination of COVID and Brexit issues. I am hoping to get back to UK in early April.

Been very impressed with the quality of information, and supportive nature of that support. Been impressed particularly with Burghboy posts, and all your advice/ support.

My urologist a German, splits practice between Bavaria and here. Saw him last week and he gave me the 4 basic options available. I am now thinking these through for further discussion in 10 days time. Am meeting with an fried who had complete removal of prostate 6 years ago when he was 63 years of age.

Excuse my nervous waffle, but thought background important. The more I read from you guys the more I believe that UK is place to be with this Cancer. So I will continue to read the excellent information posted in this Community and hope it helps me make the right decision.

Thanks your patience,

Langer ( David Langridge)

User
Posted 13 Mar 2021 at 11:46

Apologies on last post omitted PSA was 6.7. Urologist remarked small prostate??? Like that of younger person not 75. If that’s good

 

David

User
Posted 13 Mar 2021 at 12:56

Hi David. 

Firstly thanks for your comments. 👍

I think you should probably start your own thread to get a fuller viewing, and to ask for specific advice.

From my point of view, your Gleason is low at 6, and your PSA is also relatively low 6.7. Your disease seems slow growing at this stage.

I think in your situation I would take my time on deciding what treatment to take or indeed if to delay. 

As you know, I have had surgery and subsequent RT with HT. 

The surgery was dramatic but recovered quickly. No urinary issues. ED has not recovered yet. Also the loss of length is disconcerting.

I have to say the RT has been very easy. On the other hand I don't like the HT. It is really making recovery from ED impossible. Also, lots of hot flushes.

Hope others will give you their thoughts. Probably best to start your own thread.

Best wishes,

Jim

User
Posted 13 Mar 2021 at 18:54
Hi Jim,

Thanks your advice, have posted a new thread.

Also thanks for your update.

Wish you the very best,

David

User
Posted 13 Mar 2021 at 22:03

Hi David. Haven't seen your new post?Have noticed myself that sometimes I needed to hit post twice.

J

User
Posted 13 Mar 2021 at 22:23
Hi Jim,

I posted under New Conversation with title similar to yours in truth. Thank you again for coming back, I will repost again in the morning.

Thanks as always.

David

User
Posted 26 Mar 2021 at 12:21

A wee update from me.

Got my first post RT PSA result this morning. < 0.1. I guess that's as low as they go so taking as undetectable.

I'm on HT as well so a couple years before seeing the overall impact. None the less, very happy this morning and a glass of wine tonight is planned.

I have phone call with the Oncologist on Wed 31st March. Will find out next steps then. 

Jim

User
Posted 26 Mar 2021 at 14:52
Excellent - that little < is the most beautiful symbol in the world as it does indeed mean your PSA is undetectable
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 26 Mar 2021 at 16:07

Excellent result.

Ido4

User
Posted 26 Mar 2021 at 16:44

Originally Posted by: Online Community Member

A wee update from me.

Got my first post RT PSA result this morning. < 0.1. I guess that's as low as they go so taking as undetectable.

I'm on HT as well so a couple years before seeing the overall impact. None the less, very happy this morning and a glass of wine tonight is planned.

 

Excellent news.

Does anyone know whether HT is normally used with adjuvant RT or does it totally depend on location and circumstances? (asking for a friend whose post-RARP PSA is still low, but seems like it might be creeping up gradually)

Edited by member 26 Mar 2021 at 16:44  | Reason: Not specified

_____

Two cannibals named Ectomy and Prost, all alone on a Desert island.

Prost was the strongest, so Prost ate Ectomy.

User
Posted 26 Mar 2021 at 18:58
HT is commonly used to supplement adjuvant and salvage RT - the data suggests that it makes the RT more effective. Just a small number of oncos who seem to disagree - I am not sure why.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 30 Mar 2021 at 23:25
Good luck with your onco meeting.
User
Posted 31 Mar 2021 at 12:26

Thanks for taking the time AntonyB. 👍

Jim

User
Posted 18 Apr 2021 at 18:34

Hi, I saw surgeon on Thursday, originally I thought I would go for surgery, but after being told the waiting time at the QE bham, would be 10/12 weeks I have decided to opt for hormone and rt, just hope I have made the right decision, the surgeon assures me that both options carry the same amount of drawbacks but both can offer the same success rates, however there are no guarantees when dealing with cancer

User
Posted 22 Apr 2021 at 22:58

Good luck with it. I have had salvage RT and HT for two years. No real I'll effects. Hate the HT. Losing strength and stamina. Too many hot flushes.

Nothing I can't deal with.

Very best wishes.

Jim

Edited by member 22 Apr 2021 at 22:58  | Reason: Missed word out.

User
Posted 03 May 2021 at 15:26
Hi. I am in exactly the same situation well not exactly. I came to the decision to avoid RT quickly. But later discovered focal Cryotherapy as an option. SO still in a quandary.
User
Posted 24 May 2021 at 23:08

Hi all. Hope you are all well.

I am 5 months into my Prostap HT following salvage RT. Getting me down to be honest. I have some questions that I know have been asked before. Can't find what I need from searching here.

I am getting up to 20 hot flushes every day. Full blown sweats. Only 5 mins or so, but each one wakes me up through the night. Is this normal and ways to manage? 

I have absolutely no libido. I am using pump nearly every day to keep healthy, but no natural erections or stirrings. It is such a shame for my wife, and I am really letting her down. I am so anxious that I don't want to start any intimacy. Any advice would be appreciated.

Finally a much less important issue. Although important to me. I play golf and seem to have lost at least 20 yards off of all my shots. Is this normal? Has my swing got really bad during my lack of play over the last year of treatment. Or is possible that I have just lost my strength?

Thanks again for your support.

Kind regards,

Jim

 
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