Post radiation ejaculate

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searchinginla
Regular Member


Date Joined Apr 2017
Total Posts : 109
   Posted 9/13/2017 1:31 PM (GMT -6)   
Being four months post SBRT, my ejaculate in slowly returning to the original consistency and color, albeit less in quantity. Is this to be expected? Shorrtly after radiation the ejaculate was totally clear, but not so anymore. Could the semen still (or again) contain live sperm? Thoughts?
09/2014 PSA 2.1
09/2015 PSA 2.9
01/2017 PSA 4.1
02/2017 PSA 5.2
02/2017 DRE unremarkable
03/2017 Biopsy: T1c - 7/12 pos. cores, G 6
04/2017 MRI: PI-RADS 5
05/2017 SBRT
08/2017 PSA 1.7

InTheShop
Veteran Member


Date Joined Jan 2012
Total Posts : 7640
   Posted 9/13/2017 1:38 PM (GMT -6)   
Post IMRT, there is much less than before.

Don't know if there is live sperm or not, but I am well past worrying about that.

Andrew
I'll be in the shop.
Age 57, 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, .4 10/16, .4 5/17
G 3+4
Stage T1C
2 out of 14 cores positive
Treatment IGRT - 2/2012
My latest blog post

JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3281
   Posted 9/13/2017 1:49 PM (GMT -6)   
After radiation it is normal for there to be less ejaculate since the amount of functioning prostate has been reduced and the areas that were cancerous are basically scar tissue. After RP surgery one is rendered impotent as all the plumbing is cut and the sperm can not make their way out. While radiation therapy does not cut these pathways, it does do tissue change, damage and scarring which can have an effect. The type of radiation treatment can have a determination on fertility. Brachytherapy is less likely to cause infertility than external beam radiation. I understand this will vary from man to man and based on the treatment. Specifically about SBRT (a form of external beam radiation), I haven't read anything about the effect on fertility.

Have you asked your doctor? And, you could provide a sample for testing to see if there are swimmers.
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

Gemlin
Veteran Member


Date Joined Jul 2015
Total Posts : 557
   Posted 9/13/2017 1:57 PM (GMT -6)   
Impressing that you have ejaculate. What did they told you before treatment about ejaculate? Does SBRT have less anejaculation SE than traditional EBRT? I thought that the majority of men after RT experienced anejaculation. The proportion experiencing anejaculation at 1, 3 and 5 years after RT was 16%, 69%, 89% respectively in the Stember et al study published in The Journal of Urology (2010 - yes its old!).
Age at detection: 60
PSA 4.1 2014-02-25
Biopsy 2014-04-24, 4 of 10 cores positive, G: 3+4,4+3,4+3 EPE,4+3. PNI+
Bone scan negative
DaVinci 2014-08-31, nerve sparing right side
Prostate 35 g, 46x37x38 mm
Tumor dorsal PZ, SV-, 14 LN-, SM-, pT3a, G7 (4+3), EPE+ left side
PSA:
2014-10 <0.05
2015-03 <0.05
2015-09 <0.05
2016-03 <0.05
2016-09 <0.05
2017-09 <0.1

searchinginla
Regular Member


Date Joined Apr 2017
Total Posts : 109
   Posted 9/13/2017 2:03 PM (GMT -6)   
JNF: I would aks the radiation oncologist. I figured I would querry the collective wisdom first. Thanks.
09/2014 PSA 2.1
09/2015 PSA 2.9
01/2017 PSA 4.1
02/2017 PSA 5.2
02/2017 DRE unremarkable
03/2017 Biopsy: T1c - 7/12 pos. cores, G 6
04/2017 MRI: PI-RADS 5
05/2017 SBRT
08/2017 PSA 1.7

19tarpon47
Regular Member


Date Joined Feb 2017
Total Posts : 111
   Posted 9/13/2017 4:38 PM (GMT -6)   
Hey Search....I finished SBRT July 26 and my experience so far is exactly the same as yours. I still am doing the clear color with a somewhat reduced ejaculate. All else is identical to before treatment. It will be interesting to see if mine follows the same progression as yours.
Dx Age 69 Jan 2017
Prostate at biopsy 27.3 g
BX, core needle biopsy, 3 of 12 cores positive G 3+4=7, L3 left apex 60%, L5 left lateral mid 50%, L6 left lateral apex 30%, and R3 right apex: Focal high-grade prostatic intraepithelial neoplasia
PSA: 01/17-7.3
Completed SBRT Wednesday, July 26, 2017 at Cyberknife Center of Tampa with Dr. Debra Freeman

Tall Allen
Veteran Member


Date Joined Jul 2012
Total Posts : 8395
   Posted 9/13/2017 11:16 PM (GMT -6)   
You're one of the lucky ones -- congratulations!
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
SBRT 9 yr onc. resultsSBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEs
my PC blog

Terry's Cellar
Regular Member


Date Joined Mar 2017
Total Posts : 39
   Posted 9/14/2017 8:21 AM (GMT -6)   
I'm three months post SBRT treatment and my level of ejaculate is reduced but my wife and I don't care even a bit. As far as it's color or if there any strong swimmers present...equally unimportant. Now for the important stuff; all the data suggests that our choice of treatment will be as successful at controlling my cancer as IMRT, surgery, or seeds would have.

The big bonus is no side effects. Sex is every bit as good as prior to treatment. No surgical recovery, no urinary issues, no catheter, no pads, no bowel changes, no blue pill, no pumps, no injections, and no infection risk from repeated biopsies. I feel blessed that my cancer was discovered early and could be treated with such a high level of statistical probability for success. My prayers go out to those men far less fortunate.
Rising PSA
11/12 1.98
11/13 1.95
9/15 3.28
10/16 5.94
1/17 3.0
TRUS 1/17
Bx: Three of twelve cores adenocarcinoma Gleason 6 (3+3)
all on left side and <5%, no pni
DOB 7/21/47 good health.
Age 69 @ Dx
Family history uncles both sides.
Treated with SBRT by Dr. Tendulcar @
Cleveland Clinic 6/23/17

JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3281
   Posted 9/14/2017 9:13 AM (GMT -6)   
Great news Terry. Glad it is working.
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

Kent M.
New Member


Date Joined Aug 2017
Total Posts : 6
   Posted 9/14/2017 9:37 AM (GMT -6)   
Gemlin said...
Impressing that you have ejaculate. ...The proportion experiencing anejaculation at 1, 3 and 5 years after RT was 16%, 69%, 89%

I no longer have ejaculate, and it didn't take even a year to go away, if I remember correctly it was pretty much gone by the time my treatments had ended.

I was also using (and am still using) Flomax/Tamsulosin before, during, and after the RT, which might have something to do with it too with retrograde ejaculation as one of it's SE's.
Age 59, 58 at Dx
Pre PSA: 08/16 - 71.4, 10/16 - 87.3
Bx: 10/12/2016, T1C, G7(4+3), Vol. 31cc, left 3/6 pos., right 0/8 pos.
Bone scan: 11/16, no mets
Tx: 02/17 - 04/17, 44 IMRT, Whole Pelvis 45 Gy, Prostate Boost 34.2 Gy, total 79.2 Gy
ADT (6m LUPRON): 11/16, 05/17
Post PSA: 08/17 <0.1
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