Sorry that you are having to deal with this again. I have just completed 45 IMRT/IGRT sessions about 9 weeks ago. Details on the treatment are in my signature. As noted there I had "full pelvic" (FP) as well as prostate focused treatment. The last week of the FP (week 5) I developed some diarrhea and urination problems. I also had some fatigue that I feel is more related to the diarrhea and getting up at night to urinate. I took imodium for the diarrhea and flomax for the urination. As soon as the FP ceased the diarrhea cleared up. And the fatigue diminished enough to continue my exercise routine thanks to the flomax letting me get a good nights rest. I continued on the flomax until two weeks after last treatment. I have had no further side effects as of today. However, I am keeping my fingers crossed as I have read that there are late occuring SE's after radiation from three to nine months out.
Each session lasted about 20 minutes. Took longer to get my pants up and down than the radiation exposure.
Just curious if your doctor(s) recommended hormone therapy as an adjunct. Also did you do the CTC that was suggested and what were the results?
Don, I wish you the best and a successful conclusion to your treatment.
Don H. (for clarity)
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