HT a question for the wives

I am assuming they don’t offer to remove the nodes because once it is in the nodes it is free to go other places, so could be in other nodes too or further afield. Psa was 4.9 at the time of scan. The scan was 7 weeks ago. So it’s had time to travel (baring in mind psa had doubled in just under 4 months previously) 

As I said above dh had brachy. So I’m assuming he can’t have any radiotherapy at all now as it radiates a much larger area than if he’d had beam therapy. 

I would challenge this. If it's in too many lymph nodes, it won't be possible.

What I have seen is that if your hospital can't do SBRT, then they may not offer it, but you could ask to be referred somewhere that does do it for a second opinion.

Previous brachytherapy won't be a reason not to do it unless the lymph nodes are in contact with the prostate.

Edited by member 16 Oct 2023 at 11:38  | Reason: Not specified

Wiosal surgical removal is performed where appropriate.

There is an interesting discussion here from the originator of treatment for oligio metastatic PC:

https://youtu.be/wmfFreLCxBo?si=AW77NZxCKfSeXn1z

If you look at other Dr Kwon videos he discusses all of the options.

This is the wrong way around. Brachytherapy has a quick treatment drop-off at the edge of the target area, whereas external beam has to travel through tissue to get to the target area and also passes out the other side of the body, so it treats a larger area. That can have advantages in that it will often mop up micro-mets outside the target area, versus brachytherapy which spills outside to a much lesser extent, but that also means a higher effective treatment dose can be delivered with brachytherapy.

So the fact he has brachytherapy means recurrence outside of the original target area is more likely to be treatable with more radiotherapy in the form of SABR/SBRT.

Just curious. Is you wife her thirties?

Pratap

Gee baba. Thanks for your honest reply. I think if the tables were turned DH wouldn’t hang around. But I’ll never know, maybe he would. Each time I got pregnant (3 sons) the first thing he said was “great, no sex for a few months when it arrives” 

Gaz I’m a quite a bit older than 38. I wish I could say I have no interest in sex. I have a much lower sex drive than DH but I can’t bare the thought of never again. 

The men I know on this treatment path, don’t get frustrated, they just lose interest in sex because they have no libido. I would think he would more likely to get frustrated if he had libido but couldn’t use it.

I get sad rather than frustrated at times. I was in a car park in Fuerteventura today driving my car out and stopped to let a couple cross my path. The man gave the woman a playful pat on her bottom to get her to hurry up and I thought to myself…when I ever did that before(to my wife of course 🤣🤣) I got aroused….and now…nothing😟…except love, which I’ve learned to accept.

Funnily enough one one of the guys at Maggies on Friday was saying he’d only been on Prostap for a few weeks and got a mild flush. he said to his wife ‘I don’t know what all you menopausal women are complaining about!’ Then Bang! I was the same!
He thinks differently now🤣🤣🤣

My joint aches started about 9 months into the HT treatment  but I think it’s different for everyone, hopefully DH will sail through it and even keep his Libido(although I would be worried about the HT not  working if that had happened to me!). When if get back from holiday I’m going to get a full set of blood tests(privately) just see how healthy I am and if I have ANY testosterone left in my body.