Incontinance with radiation therapy

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

seeker44
New Member


Date Joined Feb 2008
Total Posts : 8
   Posted 10/3/2008 11:42 AM (GMT -6)   
I will be grateful if you do not mind sharing what effects radiation theraphy may have had, or not had, on your continence.
 
I will begin salvage (adjuvant) radiation therapy in November.  I had a RP in February with gland-confined cancer; however, the path report showed Gleason 8, contrary to the initial biopsy report of Gleason 6.  Due to the lower biopsy findings, my surgeon did not remove the lymph area.  Although I have had less than .1 psa's since the surgery, the doctor advised salvage radiation due to the Gleason 8 and the fact that my lymph glands were not removed.  I agreed to begin the radiation.  The only drawback, as I understand, is anything from minor to major incontinence since the sphincter muscle closing the bladder normally is damaged by the radiation.
 
Any experience with this that you care to share?
Born: 1944
Nov 2007 - PSA 6.2
Biopsy Nov 07:  Three of 12 cores positive for adenocarcinoma; Gleason 3+3=6 at left apex, right lateral mid and right lateral base.
Open Surgery (RP) Feb 2008
Path Exam of Tissue:  Gleason 4+4=8
Tumor confined to prostate gland
Staging: (pTNM): pT2c pNX pMX
Margins:  Free of Tumor
Extraprostatic Extension:  Absent
Seminal Vesicle Invasion:  Absent
No perineural space invasion identified
CT Scan:  No metastasis found
1st postop PSA:  <0.10; 2nd: <0.10


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 10/3/2008 2:01 PM (GMT -6)   

Hi Seeker44,

I am three weeks post radiation treatment. I had no incontinence either during or since the radiation. In the fifth week I did develop some diarrhea but this was controlled with immodium. I was getting a full pelvic for the first 25 treatments and as soon as this stopped the diarrhea resolved and has not returned. I did have some fatigue in the fifth through the seventh week. I work out regularly and had to stop for the fifth week only but I was not at 100% for the remaing time. I am getting back to my pre treatment strength and endurance now. I did have some problems with urinary frequency particularly at night and a little bit of burning sensation that started in the fifth week. Flomax resolved this problem. I have been told to discontinue the use of the Flomax when the current bottle runs out. about three more days.

Good luck with your treatment.

Don


Diagnosed 04/10/08
Age 58
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
PSA test on July 14, 08 after 8 weeks hormone .82
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.
Completed IMRT/IGRT 09/11/08.
Second Lupron shot 09/11/08
Next PSA test by oncologist 03/09
 
 

New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, June 22, 2018 5:16 PM (GMT -6)
There are a total of 2,974,383 posts in 326,172 threads.
View Active Threads


Who's Online
This forum has 161256 registered members. Please welcome our newest member, RubyT.
274 Guest(s), 13 Registered Member(s) are currently online.  Details
notsosicklygirl, Kent M., Jasperilla, summer16, PAPUN, Sinmiedo, The Dude Abides, Girlie, White Bird, NiceCupOfTea, RobLee, U.C.Me?, carnut