TC-LasVegas11/22/09 1:23 AM
Great post, yet again. First it's just always nice to hear from you. But also your treatment modality and success is something that deserves more attention. Your overall knowledge of radiation treatments is invaluable! As you can attest, I was surgery, surgery, surgery, but I have gained more experience since then. I still believe that surgery was the right call for me, but there is a bunch of great cases of proton, and other radiation modalities available. But mostly, it's great to hear from you again. I haven't seen you comment on ED and incontenence, I assume you are healthy, but that would be a great post as well.
Have a great Thanksgiving, and thank you for you!
Stay well, my friend!
It's always a special treat to hear your kind and encouraging words to me and others here. You are one of the bright spots in this forum. Although I am not too active here lately, I often think of you and the many other members here who have been near and dear to my heart. You, like some others here, have had a much more challenging battle with PCa in having to deal with a recurrence after your initital treatment. Your positive attitude and zest for life have shown through so clearly in your postings which is a magnificent inspiration to all of us. If I had been diagnosed with PCa at such a young age as you, I undoubtedly would have chosen surgery too as my first option. I was lucky to get my PCa late in my 60's which made the decision to opt for proton treatment much easier. For many, proton treatment can be a wise decision, even for men younger than I am. The key is to carefully assess all of one's treatment options depending on your stage of PCa, and opt for the treatment that you think is right for you. I hope and pray that your PSA will remain at zero for a long life ahead. You are a true hero in your wonderful positive approach to life, notwithstanding the tough challenges you have bravely faced in combating your PCa. God Bless!
P.S. Now to answer your more intimate questions which I have not addressed before! I have not faced any incontinence since treatment--my urinary functions are great at my age. I started to suffer a good degree of impotence beginning in my mid-60's (i.e., prior to treatment). With viagra or cialis I can still achieve a respectable erection at times. Since treatment, I produce a somewhat clear watery fluid upon ejaculation. After the prostate is radiated and starts to disintegrate, the prostate no longer produces its portion of semen and it therefore loses it's thick white milky consistency. I experience orgasms which are very strong, even if not fully erect. Having had to deal with ED has given me great appreciation for the frustrating plight of those men who have had to deal with it, especially those who elect surgery. I would love to hear from other PCa patients who have elected radiation treatment (either x-ray IMRT/IMGT or proton) for their initial treatment as to their experiences with incontinence and impotence in the months and years following treatment.
Nice to get your message also and glad to hear that your PSA is staying at its nadir 7 years after treatment. I feel very lucky to have gone the proton route for my treatment. With all good wishes.