Prostate Cancer question

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David T. Durite
New Member

Date Joined Oct 2008
Total Posts : 2
   Posted 10/26/2008 12:44 PM (GMT -6)   
I had prostate cncer seed implants 5 years ago and have been on Flomax ever since.. I am currently having problems associated with typical enlarged prostate issues.. frequency and urgency..

I have a couple questions.. Is there any treatments to consider other that doubling up on Flomax?

Is flomax addictive? Can I ween myself off Flomax?

Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 10/26/2008 12:59 PM (GMT -6)   
What's the advice you've received from your physician, or other specialist?

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0


Veteran Member

Date Joined Jul 2006
Total Posts : 686
   Posted 10/26/2008 9:50 PM (GMT -6)   

Hello David (or is it Dudley?)

I see that this is your first post here.  This is the best internet place to discuss prostate cancer.  I have been posting here for two years.  I keep coming back for many reasons.  Many of the posters here (including me) have had surgery, so that is what we know most about.  We do have some brachytherapy veterans and hopefully they will give you their opinions.

I have two close friends who had brachytherapy at the same time that I had surgery.  We all feel a certain kinship about prostate cancer, so we talk a lot.  I have  learned much about brachytherapy because of our discussions.

One of my friends had some difficulties following seed therapy, while the other has been more fortunate. My friend with problems had urinary problems from the beginning.  He needed to self catheterize at times and has been on and off of Flomax to help his blockage.  He is currently using Flomax again. 

I don't think (just a guess) that FloMax is addictive.  However, like many drugs we use, they give us good results that encourage their continued use. My opinion is that as we age, we continue to have urinary problems and that certain drugs provide some relief.

I would suggest more conversations with your doctor. I know that is hard to do.  In my opinion, our doctors are so busy that they just give us a quick and basic answer.  I don't blame them because most of them are trying to deal with so many new serious patients every day.  This forum is a good example. New guys keep coming and coming and coming.  You need to be your own advocate. 


PSA up to 4.7 July 2006 , bump noted during DRE
Biopsy 10/16/06
stage T2A  -  Psa 4.7
Gleason  4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8
No extension or invasion found
No continence problems
PSA 90 day (-.01)  , (6 month -.01) , (9 month +.02) , (1 year +.02) ( 18 months +.02)
ED still a problem, minor succces with bi-mix
plaque buildup due to injections 

Post Edited (lifeguyd) : 10/26/2008 8:53:30 PM (GMT-6)

David T. Durite
New Member

Date Joined Oct 2008
Total Posts : 2
   Posted 10/29/2008 2:09 PM (GMT -6)   
Thanks for the reply. I'll see my doctor next Wednesday. The urgency and frequency and the start stop mechinism are getting in the way of job. I am an accounting teacher at a community college.

I'll write again next week.. Thanks again
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