LDR Brachytherapy Next Week

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rinehart
New Member


Date Joined Apr 2015
Total Posts : 8
   Posted 8/1/2016 9:05 PM (GMT -6)   
Decision made and procedure scheduled (with 5 AM reporting time!!!). Have increased my walking over last month and dropped a few pounds, loaded up on Depends Guards and am putting dog in kennel for a couple days post-procedure. Mentally, I'm ready to go! Logistically, what else should I be thinking about?
___________________________________________________________________________________________
Age 64, Black
PSA 2.5 (01/14), 4.2 (03/15), 4.5 (03/16)
Diagnosed 04/15 - Biopsy 3 of 20 positive, Gleason 3+3
Biopsy 03/16 - 7 of 20 positive (3% - 15%), Gleason 3+3, perineural invasion (right lateral mid)
RALP scheduled 06/01/16 - cancelled in favor of LDR Brachytherapy (Palladium-103 seeds)
RO (with 800+ prostate implants under his belt) not able to get me on schedule until Mon 08/08/16
Additional PSA 4.9 (07/16), volume study completed

InTheShop
Veteran Member


Date Joined Jan 2012
Total Posts : 7496
   Posted 8/1/2016 11:03 PM (GMT -6)   
Ice cream, cookies, other treats, and maybe dinner reservations someplace nice.

Except for the poking, prodding and drugs, it's mostly a non-event with a quick recovery.

a soft cushion to sit on might be in order.

You'll be fine,
Andrew
I'll be in the shop.
Age 56, 52 at DX
PSA:
4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13,
.7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16
G 3+4
Stage T1C
2 out of 14 cores positive
Treatment IGRT - 2/2012
My latest blog post

JimBear
Regular Member


Date Joined Apr 2015
Total Posts : 120
   Posted 8/1/2016 11:23 PM (GMT -6)   
Rinehart,
Congrats on your decision and getting everything into place! You're going to do great!
Jim

JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3195
   Posted 8/2/2016 6:05 AM (GMT -6)   
Brachytherapy is a piece of cake. You will do well. I had HDR so I went through the insertion process twice, you will only do it once. My suggestions from my experience:

Stop all caffeine, acid rich and carbonated beverages. These are tough on the urinary system.

Tell the urologist to use a Foley catheter with has a numbing agent. My worst side effect was peeing razor blades for the first 12 hours and the proper catheter will help. My second procedure had no burning. I had no incontinence and did not buy any pads. My docs said no need and they were correct.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010.
PSA < .1 since February 2011

Newton451
Veteran Member


Date Joined Feb 2016
Total Posts : 551
   Posted 8/2/2016 6:26 AM (GMT -6)   
Hi Rinehart. I had HDRBRT on the 21st of June, and if it wasn't for the general anesthesia, I would have gone about my regular day as soon as I woke up after the procedure.
 
LDR is a little different, in that they leave behind little radioactive gifts, but otherwise, it's a fairly similar surgery so you should have few to no issues.
 
Be fore warned though, it hurt like the dickens when they yanked out the catheter in my case, and I yelped for 24 hours every time I had to urinate, but by day 2 all was normal.
 
FloooooooMaxxxxxx is your friend!
 
You'll do fine I am certain. Happy for you that your treatment plan is coming to fruition!!
 
yeah  
Age at DX 53
PSA 11/14=8, 11/15=11.5
DRE Nodule LHS LWR
22 Jan 2015, Biopsy 3 of 10 positive
3+3, 4+3, 4+4
Scans...NEG for METs
Triple Play Chosen (HT/HDRBT/EBRT)
Lupron Depot/Casodex 4 months base plan - Started 31st March
03/31/16 PSA=10.40, T=9.0
05/19/16 PSA=.64, T=<.6
HDRBRT 21/06/2016-16 Cath, 15Gy
EBRT started 05/07/2016-Tot 46 Gy, 19 Down...4 to go
NTAF MY FRIENDS...EEEE

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 3852
   Posted 8/2/2016 6:54 AM (GMT -6)   
Hello Rinehart and congrats on making a great decision. I'm almost 8 years post LDR Brachy and I sincerely hope you have the same results that I have experienced. If you are at all interested, feel free to copy and paste my long winded journey from my signature.

I think the hard part of your experience is already done, i.e. the volume study. For the LDR Brachy itself you will take a little nap and wake up a little sore. With any luck the catheter will be gone when you awake. Forget about the Depends as there should be no continence issues. You will probably be on Flomax for a few months to help with your flow and you should avoid alcohol and caffeine for a bit to avoid urgency. Because you are having Palladium seeds (I had Iodine) any SE's may occur sooner but will also disappear sooner.

Take a nice Percoset on the night after your procedure. You will be a little tired on the day after but the following day you should be right back to normal (I played tennis on Day 2).

Now...relax and start looking forward to a prostate cancer free life!

Jim
Forum Moderator-Prostate Cancer. Age 62 (69 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Everything continues to function normally. PSA: 6 mo: 1.4, 1 yr: 1.0, 2 yr: .8, 3 yr: .5, 4/5 yr: .2, 6 yr: .1, 7 yr: .1. My docs are "delighted"! My journey:
http://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1

racquetball74
Regular Member


Date Joined Apr 2016
Total Posts : 25
   Posted 8/2/2016 8:14 AM (GMT -6)   
you will be just fine !!

maybe a bit tired from waiting your turn or if you go early in the morning means getting up before dawn.
but brachy does that.

good luck.

ps 3+3 is low ,so results will be all positive going forward

Manfred
Regular Member


Date Joined Feb 2016
Total Posts : 93
   Posted 8/2/2016 8:17 AM (GMT -6)   
Hey Rinehart

I had seeds implanted in May. No major issues. Went home without a catheter. Burning sensation when urinating. Still waking up at night to urinate. Incontinance is not an issue.

I was taking Uroxatrol once a day. After a week, switched to Flomax twice a day.

Good luck. You'll do fine.

Al
67 yrs - DX (age 66) Jan 4 2016 20 cores, 9 positive, GL 8
Bone and CT scans on 1-12-2016 - neg

PSA 10-15 2.22; 02-16 0.62; 04-16 0.17; Jul 16 0.02

Treatment Lupron 1-12-16
IMRT- 25 doses completed 3-30-2016
LD Brach Seeds on 5-10-16; 6 month Lupron Shot 5-13-16

Works Out
Regular Member


Date Joined Dec 2014
Total Posts : 219
   Posted 8/2/2016 1:49 PM (GMT -6)   
X2 what JNF said.

Also had HDR and had the hot razor blade effect after my first treatment. For my second treatment they used a numbing agent and things were much better afterwards. Wonder why they don't automatically use a numbing agent? Must be a reason.

You should be fine.


JNF said...
Brachytherapy is a piece of cake. You will do well. I had HDR so I went through the insertion process twice, you will only do it once. My suggestions from my experience:

Stop all caffeine, acid rich and carbonated beverages. These are tough on the urinary system.

Tell the urologist to use a Foley catheter with has a numbing agent. My worst side effect was peeing razor blades for the first 12 hours and the proper catheter will help. My second procedure had no burning. I had no incontinence and did not buy any pads. My docs said no need and they were correct.

Born 1953 - You Do The Math

-DX Jan 2015
-PSA (Finasteride reduced) 2/15 - 3.46, 9/14 - 3.38, 8/14 - 2.5, 2/14 - 2.1, 9/13 - 1.7, 12/12 - 1.4

HDR Brachytherapy at UCLA 4/30/15 and 5/7/15

-2 cores positive - 30-40%
-Gleason 7 (3+4)

Post Procedure PSA's

8/15 3.5
11/15 1.9
2/16 2.6
5/16 1.4

browntrout
Veteran Member


Date Joined Apr 2014
Total Posts : 511
   Posted 8/2/2016 6:10 PM (GMT -6)   
Welcome to the Brachy Brotherhood. I seriously doubt you will have any incontinence or bowl issues! Soreness, false bowel movement sensation, bruising, burning urination, and a few others have been mentioned. All these early SEs are manageable with walking being the best medication. Please take the time to read directions and discuss the SEs of Flomax as this was more of an issue for me than BT.

Rest assured that very few BT guys on this forum have come back with recurrence issues and/or rare problems with SEs. Please keep us posted and best wishes.
Age 65, Steadily rising PSA with a jump from 3.32 to 4.3 in 5 months, April 2014
Biopsy May 9, 2014 4/12 cores 3%, 15%, 30%, .5mm, 3mm, 5mm
Gleason's 3+4=7PI not id'd Vol25g Ultrasound Findings: No discrete nodules. BT 7/16/14 81 pSeeds, nausea, urine blood, burning, 1/2 day, bruising, mild urinary/bowel 2 wks PSA: 8/14 1.19, 10/14 .41, I/15 .36, 4/15 .33, 7/15 .37, 11/15 .35h, 5/16 .15

akai
Regular Member


Date Joined May 2012
Total Posts : 231
   Posted 8/2/2016 6:40 PM (GMT -6)   
Where are you having the procedure done? Good luck.
Age 59 as of 2013
PSA 2003=1.5, 2005=1.3, 2007=1.9, 2008=1.8, 2010=2.3, March 2012=3.1, May 2012=3.35, May 2012=3.6, several differnt Labs and Assays
Bx and Dx Aug 2012 = 3 of 14 cores all G6 (USC and City of Hope Path), Follow AS,
After Dx with PCa
Three months - PSA Oct 2012=2.5, Nov 2012=3.16, Nov 2012 2.1, three different Labs/Assays
Six months - PSA Feb 7, 2013=3.29 (up from 3.16)

rinehart
New Member


Date Joined Apr 2015
Total Posts : 8
   Posted 8/2/2016 7:27 PM (GMT -6)   
Akai, I live just north of Columbus, OH. Procedure will be performed by Dr. Martin at Ohio State University Medical Center.
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