Here is a summary of my experience so far with radiation and hormone treatments. I am on #34 of 45 IMRT treatments and Lupron. My first 25 are "full pelvic" and the remaining are focused on the prostate only. I developed a mild case of diarrhea about
the 21st treatment. It was controlled with imodium. I also got fatigued a bit by the 20th treatment. I feel like this was compounded by the diarrhea but it is a common side effect. Within 48 hours of completing the "full pelvic" at #25 I was back to feeling strong and no, repeat, no diarrhea. My signature has the data on the dosage so I will not repeat here. I believe that had it not been for the full pelvic this treatment would be relatively benign. Keep in mind that this is an individual response and I believe it is highly dependent on one's general state of health and fitness. I am not quite a gym rat but do vigorous weight and aerobic excercise three to five time per week.
Another side effect of the radiation was urinary frequency. I would have to get up about
three or four times per night and never felt like it was complete. Flomax has helped this and I am down to one per night. There is also some burning sensation during urination not much. Flomax helped that too.
The site of the hormone shot is uncomfortable for about
three days. Just a dull ache and keeps you sitting to one side. I began getting hot flashes in about
two to three weeks. The libido (I know, this is your dad we are talking about
but he might be interested) just sort of drained away after about
six or seven weeks. Hot flashes continue mostly early morning and evenings. I have found that if I get up and move around a little they go away quickly. Of course... they are called "flashes"! But I think it helps and does no harm. I have also gained about
ten pounds. I attribute this to missing two weeks in the gym due to diarrhea and fatigue.
I hope that your father's experience is a good one. Remember, do not hesitate to ask the doctor for the Flomax and the imodium is available over the counter if either is needed.
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.