Salvage Radiation latest update

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Regular Member

Date Joined Jul 2007
Total Posts : 86
   Posted 8/19/2008 9:21 AM (GMT -6)   
My PSA came back at .01 or less at 5.5 months after completing the treatments.  The test my doctor uses only goes down to .01 according to the nurse I spoke with this morning which contradicts what the doctor told me but what the heck.
My rectal issues have pretty much resolved themselves through the use of daily fiber each morning and a stool softener at night.
All is still good in the ED area as well and hopefully will continue. 
I post this mainly for all those who might be considering or who may one day be faced with the salvage decision.  With IMRT I think it is a good bet to go with salvage or adjuvant and if I had any adverse path findings after surgery I would reccomend it as soon as possible.  If I had to do it over again I would have done it sooner.
Age 45 at DX
DX 8/05 Gleason 5, Mayo clinic Second Opinion Gleason 6, PSA 2.8
Da Vinci surgery Dr. Dasari, Centennial Nashville 9/24/05
Pathology Report Gleason 6, 15 % on left side only very near to the edge of capsule, too close to call on margins, doc's said to watch it very closely, final decision T2A
PSA's have basically ranged from <.04 to .05 for two years.
no E.D. and no Incontinence, feel very blessed
PSA Nov 07 = .06
PSA Dec 10th 07 =.07
PSA Jan 4th 2008= .1
Started Guided IMRT on January 7th, 2008 to treat prostate bed and lymph nodes, completed on March 6th, 2008
PSA April 18th 2008 =.03
PSA August 18th 2008 = .01 or less, test only goes down to .01

Regular Member

Date Joined Jan 2007
Total Posts : 376
   Posted 8/19/2008 4:07 PM (GMT -6)   

Hey that's great news on the PSA results following salvage radiation, it gives many others faced with the return of positive PSA numbers that it can be delt with. Here's hoping you have a lifetime of 0"s from now on.

Current age 50, Age at Dx-48 PSA 6.22 on 9-26-06
Biopsy 11-01-06, 2 of 13 cores 10% cancer, 2 other cores abnormal Up-dated 20% prostate cancerous
Gleason score 3+3=6 After Surgery Pathology report 4+3=7 a couple agressive Grade 5 cells found
Da Vinci surgery 01-09-07 UW Madison
Pathology Report- cancer 100 % capsual contained 1-18-07
1st & 2nd Post PSA Blood Test .1 and less - Undetectable
3nd Post PSA Blood Test 01-17-07 .3
March 27th PSA .422 Begin Salvage Radiation April, 14 2008
Radiation Complete June 4, 2008 36 treatments
August 5, 2008 PSA .09 or < .1 again
Incontenence-Pad free since end of May 07 4 1/2 months post surgery 
ED back to 95% prior to surgery - no medication required.

Doting Daughter
Veteran Member

Date Joined Aug 2007
Total Posts : 1064
   Posted 8/20/2008 9:01 AM (GMT -6)   
Great news on the salvage radiation!! Best wishes for a lifetime of undetectables!! Keep us posted! I love to hear all the salvage successes!!
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
July 2, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum

Veteran Member

Date Joined Oct 2006
Total Posts : 1211
   Posted 8/20/2008 10:59 AM (GMT -6)   
Hi Pelahatchie,
Congratulations on on your great PSA test result after your salvage RT. Thanks for staying in touch with us and keeping us informed about your progress. As you can see by my signature, my PSA is slowly creeping up and I will have to consider salvage radiation soon. My next PSA test is in September, and depending on the result, I will make my decision. Posts like yours give guys like me some hope for the future.
Wishing you many years of Zero PSA.

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05

Veteran Member

Date Joined Jul 2008
Total Posts : 637
   Posted 8/21/2008 5:27 PM (GMT -6)   
Hi Pelahatchie...Good news! It is what we have been hoping for with salvage surgery...unfortunately, not as easy as your route. We had the radiation first, and then the surgery....Very different., and many more side effects. I am also saying that to help in any decision making process for others. Keep up the good news! Di
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
AUS Operation at MSK Sept 8. Dr. Sandhu

Regular Member

Date Joined Oct 2007
Total Posts : 30
   Posted 8/23/2008 4:19 AM (GMT -6)   
Great news, I hope you are a zero the rest of your life.
56 years old
Had 3 Prostate needle Biopsies done in the last 8 years all negative.  
Last Biopsy done on July 6th, 07 Positive in one sample.
March 2007 PSA 10
May 2007 PSA 12.1
Pre-surgery Gleason grade 3+3=6
Sept 4, 2007- Robotic Laparscopic prostatectomy Surgery Nerve-sparing right side, took half of the left side, 
                    took Seminal vesicles, and vas deferens, bilateral, and 
                    Lymph nodes left side, pelvic. NO Malignancy found out side of
                    the Prostate.
Post Surgery, Pathologic Stage: pT2(m) NO Mx
                   Gleason score: 4+4=8
                   Tumor volume: approximately 35%
 Oct 19, 2007 - Catheter removed after 45 days
 Oct 31, 2007 - Start Pelvic Floor Muscle Rehab, once a week for 6 to 12 weeks for incontinence.
 Dec 18, 2007 - 1st Post op PSA  0.0 (undetectable)
 March 20, 2008 - 2nd Post op PSA Less than 0.04 (undetectable)
 June 24, 2008 - 3rd Post op PSA 0.00 (undetectable)

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 8/23/2008 12:42 PM (GMT -6)   
Great news!
You are doing so well. What a road, but you have done the task well. And with very desirable results.

Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 9 '08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
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