Mr. Duck's Brachytherapy Log

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duckfan
Regular Member


Date Joined Dec 2008
Total Posts : 40
   Posted 3/14/2009 8:02 PM (GMT -6)   
Someone suggested that I start a log for my husband's brachytherapy.  He goes in March 20th for the "procedure".  This journey has me a little apprehensive because he has Multiple Sclerosis and I'm hopeful that he doesn't have to many side effects.  Funny how our mind can drift to the worse that could happen.  I think this is a protective device that God installed so was can preview just how much we can take.
 
He's looking forward to getting this over with and doesn't seem the least bit worried.  Of course, being a 101st Airborne veteran his favorite saying is "what's the worst they can do to me, send me to Vietnam?"  I guess he figures he survived that, he can survive anything.
 
He had his pre-procedure appointments last week and all went well.  The volume study is no picnic but he was more embarrased by the young, cute interns and resident that were looking at his "parts" with great interest.  He was telling our son and I about the study and said "they had my feet up in stirrups" and our Son said, "oh, I'd hate that".  Of course, I said "welcome to my world", I feel no pity for you guys complaining about that "position'".   Anyone reading this don't worry, he said the study is really not that bad, just a little uncomfortable. 
 
So, on to the seeding itself.  All you brachytherapy veterans reading this, do you know how much pain you were in after?  We have a 5 hour car ride and I'm wondering how it will be.  I guess I'll just jam a Vicodin tablet down his throat and pray for comfort for him.
 
I'll post after the seeding is done. 
62 year old with Multiple Sclerosis currently in remission
Last PSA taken in 2008 was normal
November, upon exam abnormality felt in Prostate
Biopsy taken December 10
6 samples taken
3 positive for Prostatic Adenocarcinoma
3 Negative
Gleason Score of 3+3=6
Grade T-2
Looking into DaVinci Surgery, no decision made yet.  Update, not a good candidate for surgery because of MS.
Saw a Oncologist who suggested 8 weeks of Radiation.  Not a good option because of the distance.  Would need to live away from home for 8 weeks. 
Had a MRI which showed no spread outside the prostate. 
Will do brachytherapy at Oregon Health Sciences on March 20th.
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 3/15/2009 8:04 AM (GMT -6)   

Hi Duckfan:

I'm glad the volume study was uneventful and I hope the seed implantation will be a piece of cake.

Since I was a bit groggy after the procedure, I just asked my wife to recall some of the details.  When I woke up in recovery the catheter was already gone.  This is pretty much standard these days but...in some procedures the catheter stays in until the next day.  Obviously, if Mr. Duck's catheter is still in, you might want to reconsider the 5 hour trip home and stay with relatives or a hotel until the next day.

Re the pain, it was pretty much non-existent for me.  I was still enjoying the after affects of the anesthesia during our 45 minute car ride home, so I had no problem with that (ride home about 2 PM).  I snoozed for a couple of hours after I got home and woke up with a little discomfort "down there" (now 4 PM).  It was pretty non-specific but I took the advice of my doc and popped a vicodin early.  I watched a little TV and fell back asleep.  I woke up again around 10PM, chatted with my wife for awhile, then took another vicodin - just in case - before going back to bed.  I slept thru the night and woke up about 8 the next morning.  The following day was pain free and I did pretty much what I wanted...just no vigorous exercise.  I didn't need any more pain meds at all.

My first couple of urinations were painless but a little slow to get started.  There was a little blood in the urine, but it was no big deal.  I had started the Flomax the day before my procedure and it worked like a charm as my urinary functions were normal by the day after the procedure.  I continued to have a few blood specs for a couple of days but no problems.  I continued on the Flomax for 3 months recently ending it with no problems.  My sex life returned to normal a couple of weeks post procedure and has remained so.  The ejaculate continued to be dark for a couple of months.

Anyway, if my example is what your hubby has then there should be little pain and little probem with the 5 hour car ride.  However, I must tell you that if it was me, I would probably want to stay somewhere close overnight the first night and then do the car ride the next day.  Post procedure I just wanted to get in bed so, while I know I could have tolerated a 5 hour ride, I would not have wanted to do so.  The next day was so much a return to normal that is what I would recommend.  Plus, heaven forbid, there is a problem the first night, wouldn't it be good to be near your doc?

Best of luck in Mr. Duck's procedure and please add to your journal and let us know how he progresses.

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 3/6/09.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/15/2009 8:36 AM (GMT -6)   
Sounds like very good and experienced advice there, tudpock. I think the staying overnight after the seeding would work well for mr. duckfan, take some of the stress out of it.

david in sc
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


duckfan
Regular Member


Date Joined Dec 2008
Total Posts : 40
   Posted 3/15/2009 9:32 AM (GMT -6)   
Thanks for the advice. I didn't make it clear but we had planned on staying overnight. Our kids live in Portland but we rented a hotel to have the privacy for the pre-op enema. We thought it would be a good idea to stay close by just in case anything went wrong after the procedure.

Hope everything goes well for my husband as it did for you. You guys make it sound easy.
62 year old with Multiple Sclerosis currently in remission
Last PSA taken in 2008 was normal
November, upon exam abnormality felt in Prostate
Biopsy taken December 10
6 samples taken
3 positive for Prostatic Adenocarcinoma
3 Negative
Gleason Score of 3+3=6
Grade T-2
Looking into DaVinci Surgery, no decision made yet.  Update, not a good candidate for surgery because of MS.
Saw a Oncologist who suggested 8 weeks of Radiation.  Not a good option because of the distance.  Would need to live away from home for 8 weeks. 
Had a MRI which showed no spread outside the prostate. 
Will do brachytherapy at Oregon Health Sciences on March 20th.
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 3/15/2009 11:41 AM (GMT -6)   

Hi Duckfan:

Glad you're staying overnight after the procedure.  I didn't understand that from your original post hence my suggestion.  Anyway, I'm sure you will be glad you did and the ride the following day should be pretty easy.  I really do hope Mr. Duck's procedure goes as well as mine did.

Good luck!

Tudpock

 


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 3/6/09.

lvdgs
Regular Member


Date Joined May 2008
Total Posts : 70
   Posted 3/16/2009 12:40 PM (GMT -6)   

I would purchase a tube for him to sit on for the car ride since he will be swollen. My husband never took any of the pain meds but was and still is on one Flomax a day. He had seeding in July and has been fine since. He did have a little odd pain in the groin area off and on right after seeding but it has since gone away. BTW, the seeding was done with no catheter which was a surprise to us.  Good luck and please let us know how he is doing.

 

Gail   


chris nz
Regular Member


Date Joined Sep 2007
Total Posts : 33
   Posted 3/16/2009 12:57 PM (GMT -6)   
Hi,
I had the procedure last August, stayed in the clinic overnight, next day I was driven home for 3.5 hrs, I was in a large comfortable car, and used no extra padding. no problems, went to work the next day [active on my feet all day], best wishes chris nz
Dx Nov '03, age 61, 1 of 8 +, 3 + 3, PSA before biopsy 6.5.
after biopsy PSA went 10.5 and stayed there.
Tried a lot of the can't fail 'cures'. Found 'Prostasol' a version of PC Specs.
PSA dropped to less than 1.
Still tried other supplements but reverted back to 'P'. [ a herbal estrogen.] Had problems with hereditary Deep Vein Thrombosis, now on blood thinner.
March '08, second biopsy, 3 of 10 + [10-50%], 3 + 4, PSA 1.0. T2A.
Bone scan didn't show much, bone density showed early osteo in places.
Had Brachytherapy Aug 23 08. 75 seeds, started work again 2 days later
PSA after 6 weeks 7.8
PSA after 3 months 4.2, everything still working well, absolutely no problems. next check in May '09


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 3/16/2009 5:16 PM (GMT -6)   

Tudpock,

Thanks for the info. I go in for a volume study in two weeks then seeds in about a month afterwards. I'm planning a 1400 mile drive from Ca to Idaho shortly afterwards. Should I wait a week before taking the drive or could I do it a couple of days after having the seeds in?

Any problem with frequent urination during a long drive? How long do you have to stay away from physical activity, such as golf or motercycle riding after the procedure?

JohnT


64 years old.

I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.

In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.

I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.

A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.

Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,

I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.

The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.

JohnT


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 3/16/2009 7:46 PM (GMT -6)   

Hi...first of all, hello to all you seed folks.  For awhile I thought it was JustJulie and me left on this forum!

Duckfan, the pillow or tube for the ride home is probably not a bad idea.  I did not need that and would not have even for a 5 hour ride, but I seem to recall that JustJulie's hubby had a bid of discomfort, hence recommended some padding for the drive home.

JohnT..first, please let me give you my advice re the volume study.  If you go to my journey link in my signature, you will see that the volume study was pretty much the most uncomfortable part of this whole process for me.  I got the big tube up my rectum with no sedative or anything to relax me.  For me, that was a big mistake.  I should have at least have something to calm me a bit as I found the volume study to be no fun at all!  So, maybe I'm a wuss, but I would recommend you insist on at least some mild drugs while laying there in his stirrups and he shoves the pipe up there...

Hope that didn't scare you, as the seeding part for me was a piece of cake.

Re the drive, everyone is different and you may want to play it by ear if that's possible.  For me, I could have embarked on the trip easily 2 days post procedure, i.e. procedure on Friday, trip on Sunday.  However, to be on the safe side, I probably would have waited another day or two.  I had zero problems with frequent urination or urgency, so that would not have been a problem for me.  But...I had no problems pre-procedure.  I see your prostate is on the large side so maybe you have some of those issues today.  My doc told me, "no problems before means no problems after".  I think the reverse is probably also true and if you have some frequency issues now they may be a little worse immediately afterwards.  Not to be gross, but a wide mouthed bottle in the car is probably a good idea and will at least give you peace of mind.  I actually took one with me on a 1000 mile trip that I took 2 weeks post-procedure...thankfully, I didn't need the bottle, but it was a security blanket just in case.

Finally, please tell us how it goes for both volume study and procedure.  Good luck....this is an excellent option for PCa cure and, along with the IMRT and HT, I'm sure all will go great!

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 3/6/09.

duckfan
Regular Member


Date Joined Dec 2008
Total Posts : 40
   Posted 3/16/2009 8:20 PM (GMT -6)   
Just to clear up the volume study issue.  My husband said to post that the instrument they used in his rectum was the size of his finger, not as large as Tudpock's experience.  He said that was why it wasn't that uncomfortable, just embarassing. 
 
Hope that helps, maybe they use a different instrument now.  Things in the medical field change so fast. 
 
 
62 year old with Multiple Sclerosis currently in remission
Last PSA taken in 2008 was normal
November, upon exam abnormality felt in Prostate
Biopsy taken December 10
6 samples taken
3 positive for Prostatic Adenocarcinoma
3 Negative
Gleason Score of 3+3=6
Grade T-2
Looking into DaVinci Surgery, no decision made yet.  Update, not a good candidate for surgery because of MS.
Saw a Oncologist who suggested 8 weeks of Radiation.  Not a good option because of the distance.  Would need to live away from home for 8 weeks. 
Had a MRI which showed no spread outside the prostate. 
Will do brachytherapy at Oregon Health Sciences on March 20th.
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/16/2009 8:58 PM (GMT -6)   
It's nice to see some information and experience going on here with "seeding", I still find the approach very interesting.

Duckfan, I hope your husband does well at the next stage. The embarassing parts, well, all I can say, after awhile, you even get numb to that part, least I did, so many people poking at me and looking at my private parts. And to think, I use to be a shy and modest person, lol.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 3/16/2009 11:55 PM (GMT -6)   
As Bugs Bunny used to say "What's up, Duck"
Great job and happy healing. I look forward for his continued progress! Haven't typed at you in a while, I am very sorry for that! But I remain on your team...

Peace,

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 3/17/2009 3:15 PM (GMT -6)   

JT...per duckfan's reply, maybe the volume study instrument will be figer sized and not large pipe sized.  Anyway, maybe you should just ask in advance to be sure...

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 3/6/09.

duckfan
Regular Member


Date Joined Dec 2008
Total Posts : 40
   Posted 3/17/2009 4:02 PM (GMT -6)   
One more question before the procedure. Did you guys have any dietary restrictions after the procedure other than caffeine?
62 year old with Multiple Sclerosis currently in remission
Last PSA taken in 2008 was normal
November, upon exam abnormality felt in Prostate
Biopsy taken December 10
6 samples taken
3 positive for Prostatic Adenocarcinoma
3 Negative
Gleason Score of 3+3=6
Grade T-2
Looking into DaVinci Surgery, no decision made yet.  Update, not a good candidate for surgery because of MS.
Saw a Oncologist who suggested 8 weeks of Radiation.  Not a good option because of the distance.  Would need to live away from home for 8 weeks. 
Had a MRI which showed no spread outside the prostate. 
Will do brachytherapy at Oregon Health Sciences on March 20th.
 
Link to Mr. Duck's Brachytherapy Journal
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 3/17/2009 4:27 PM (GMT -6)   

Dear Duckfan:

I had no dietary restrictions whatsoever.  However, during the first couple of months post procedure, I noticed that very spicy food, caffeine and alcohol made me "go" frequently (no urgency issues).  So, I avoided those...no big deal...and had no problems.

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 3/6/09.

duckfan
Regular Member


Date Joined Dec 2008
Total Posts : 40
   Posted 3/21/2009 9:07 PM (GMT -6)   

The seeds are implanted, no turning back now.  We went to Portland on Thursday and the procedure was done on Friday morning.  We were told to check in at 5:30am so of course we told our son to pick us up at 5:00am.  Our boys live in Portland and we would have stayed with one of them but with the pre-procedure prep my husband felt more comfortable in a motel.  Back to the 5:00am story.  It only took 8 minutes to get from our motel to Oregon Health Sciences.  I think our son knew this but he knows how much of a stickler his Dad is on time.  We got there before anyone was there but at least the doors were open.  We sat down and felt like we were in a scene from Godfather I.  No one there, slient as a tomb and we hear footsteps coming up the stairs.  We looked at each other and broke out laughing. 

Finally he was checked in and we went back to the "prep" room where his history was taken, clothes removed, blood pressure checked.  He was told that the Nurse anethesist would be in shortly.  He was ready to be moved so I went to the waiting room and sat down depressed, lonely, and worried.  I said my hundreth prayer, stopped feeling sorry for myself, looked around and wondered how many of the people waiting were in some much worse shape than my husband.  I swear waiting is worse than the person going through the procedure.  At least they're drugged.

I completely read Looking for Alaska and the Dr. came in.  He asked me to come to the Patient Consult room and told me that the implant went really, really well.  He said the placement was perfect and it couldn't have gone better. They implanted 78 seeds.   It gave me a little start that he brought me into a private room so I after he'd told me everything I said, but...?  He laughed and said, no, it went great but I like to talk in private. 

I went back to the recovery room and looked at a very pale, very drugged up version of my husband.  He said the catheter was removed to his great relief.  They brought him crackers and apple juice which I forced on him.  Drink, drink, drink I said.  The nurse said, yeah, it's your ticket out of here if you urinate.  We waited about 45 minutes and my husband said he felt like he had to pee.  Whoopee, no pun intended.  He did and said it didn't feel to bad, just a little burning and blood. 

I helped him dress, remember he has MS so he was pretty weak.  Our son came to pick us up and took us back to the motel.  My husband said he felt pretty good but was hungry.  I got him some lunch and gave him a cold pack for his "area."  He took one Vicodin, watched the NCAA's and slept good.  Got up once to urniate and slept again.

We were worried about the 5 hour drive home but it couldn't have gone better.  He said he felt some urgency and had gas and a little watery bowel issue when he urniated.  We stopped at four rest stops but my husband drove all the way.  He's more comfortable in the driver's seat because of the leg room.  Anyway, he had a cold pack on, never took any more Viocodin  just Alleve and his antibiotic.  Tonight the frequent urination continues but the bowel issue seems to have abated.  He says there's no soreness just a little feeling of fullness.

We are so amazed.  I know when the seeds start working their magic he may feel some other things but he feels like he can handle it.  We feel that with his Multiple Sclerosis issues the brachytherapy was the absolute best way to go.  All the prayer he had didn't hurt either. 


62 year old with Multiple Sclerosis currently in remission
Last PSA taken in 2008 was normal
November, upon exam abnormality felt in Prostate
Biopsy taken December 10
6 samples taken
3 positive for Prostatic Adenocarcinoma
3 Negative
Gleason Score of 3+3=6
Grade T-2
Looking into DaVinci Surgery, no decision made yet.  Update, not a good candidate for surgery because of MS.
Saw a Oncologist who suggested 8 weeks of Radiation.  Not a good option because of the distance.  Would need to live away from home for 8 weeks. 
Had a MRI which showed no spread outside the prostate. 
Will do brachytherapy at Oregon Health Sciences on March 20th.
 
Link to Mr. Duck's Brachytherapy Journal
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/22/2009 8:25 AM (GMT -6)   
Dear Duckfan,

I was so happy to read your well detailed acount. I am so very glad it went so well for both your husband and you. Can't believe he drove all the way home! Sounds like us men, lol. Unfortunately, after my surgery and 4 days in the hospital, I was way too drugged to have driven a car. I am also happy this part is over for him, and now he is on the other side as we like to say here, the recovery side. Sounds like you had a really good doctor to work with. You are right, it's real torture to be sitting in a waiting room while someone you love or know is having a procedure or long surgery. I felt bad for my wife and family during my surgery.. I was in "la-la" land, so I was feeling pretty good. I hope he recovers well without any complications, and give my best to him.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 3/22/2009 1:53 PM (GMT -6)   
Dear duckfan:
 
I'm SO glad to hear that all went well with Mr. Duck!  I was thinking about you guys on "the day" and hoping you would post back here again to let us know how it went.  Anyway, thanks for sharing the good news...it was what I expected but you never know...
 
As you know, my seeds have been "working their magic" for over 3 months now and I have had zero quality of life issues.  Of course, with brachy, some of those things come way down the road.  But, for now, I'm fine and I pray that you and Mr. Duck have the same positive journey that I have had so far.
 
I see that you have posted a link to your journey at the bottom of your signature.  I think that's a great idea.  One of the moderators suggested to me, and I will pass on the same suggestion to you, that you cut and paste your latest post and put it at the bottom of your original journey so that it will be more complete.  To do that, just find your original journey and use the edit function in the upper right hand corner to add to your story.  I continue to do that to mine every now and then.
 
Best wishes,
 
Tudpock
Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 3/6/09.

CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 3/22/2009 6:45 PM (GMT -6)   
Glad things went well and you are on the road to recovery.  Thanks for the update.  David

Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 3/23/2009 12:49 PM (GMT -6)   
Keep us posted weekly of your progress. I'm very interested as I am 6 weeks out from my procedure. Volume study is next Monday and Tupuck. I'm taking your advice and taking a valium and a viocodine. I't can't be much worse than the 13 biopsies, a endo rectal MRI and two color dopplers, but I'm not taking any chances.
JohnT

64 years old.

I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.

In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.

I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.

A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.

Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,

I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.

The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.

JohnT


JustJulie
Regular Member


Date Joined Mar 2006
Total Posts : 355
   Posted 3/23/2009 2:48 PM (GMT -6)   
Welcome to the post-surgery side!  Sorry I didn't post earlier but I finally got away on a well deserved holiday.
 
Other than a little (or maybe a lot) of fatigue and some trial and error on foods, it should be smooth sailing now.  Take a breath and know the worst is over.  We're all here for you so if you have any questions along the road, let us know, we veteran seeders are not afraid to talk about anything!
 
JustJulie
Husband diagnosed in December 2005
PSA of 3.74
Gleason 6
Brachytherapy (91 stranded seeds) April 2006
PSA of 0.39 - November 2008 - whoo hooo!
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 3/23/2009 2:58 PM (GMT -6)   

JT...I'm sure those drugs will do the trick!  You may not have had a problem anyway but now it should be a non-event.

Please check in after your procedure and let us know how it went.

Good luck!

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 3/6/09.

duckfan
Regular Member


Date Joined Dec 2008
Total Posts : 40
   Posted 3/31/2009 10:06 AM (GMT -6)   
I thought I'd better post on this thread. So far no problems except a burning in the prostate area. I don't know if this is normal or not. He hasn't had one problem with urniation or pain. Now were wondering how the next three months will be.

He's still not sorry he choose brachytherapy. I've read lately where brachytherapy is only for those that have a early cancer and a small volumn prostate. He had both. With Multiple Sclerosis I'm thankful that was the case.
62 year old with Multiple Sclerosis currently in remission
Last PSA taken in 2008 was normal
November, upon exam abnormality felt in Prostate
Biopsy taken December 10
6 samples taken
3 positive for Prostatic Adenocarcinoma
3 Negative
Gleason Score of 3+3=6
Grade T-2
Looking into DaVinci Surgery, no decision made yet.  Update, not a good candidate for surgery because of MS.
Saw a Oncologist who suggested 8 weeks of Radiation.  Not a good option because of the distance.  Would need to live away from home for 8 weeks. 
Had a MRI which showed no spread outside the prostate. 
Had brachytherapy done at Oregon Health Sciences on March 20th.  No ill effects, pretty easy procedure.
 
Link to Mr. Duck's Brachytherapy Journal
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/31/2009 10:28 AM (GMT -6)   
Hello Mrs. Duckfan,

Glad your husband is doing so well so far after his seeding. Yes, he was a good text book candidate for that method of treatment, especially when you factor in his MS. I hope you both do well as he continues to improve and heal.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


duckfan
Regular Member


Date Joined Dec 2008
Total Posts : 40
   Posted 3/31/2009 2:56 PM (GMT -6)   
Is the burning in the prostate area pretty normal?

62 year old with Multiple Sclerosis currently in remission
Last PSA taken in 2008 was normal
November, upon exam abnormality felt in Prostate
Biopsy taken December 10
6 samples taken
3 positive for Prostatic Adenocarcinoma
3 Negative
Gleason Score of 3+3=6
Grade T-2
Looking into DaVinci Surgery, no decision made yet.  Update, not a good candidate for surgery because of MS.
Saw a Oncologist who suggested 8 weeks of Radiation.  Not a good option because of the distance.  Would need to live away from home for 8 weeks. 
Had a MRI which showed no spread outside the prostate. 
Had brachytherapy done at Oregon Health Sciences on March 20th.  No ill effects, pretty easy procedure.
 
Link to Mr. Duck's Brachytherapy Journal
 

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