Drinking water before IMRT

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John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 7/1/2009 10:33 AM (GMT -6)   
I have to drik 32 oz of water 1 hour before every IMRT session. On monday the CT scan had to be aborted because I had to pee so bad I couldn't hold it any more. They had to start over. I'm going for my frist session today at 2pm and would like to know any tricks that guys have used to hold urination while undergoing IMRT.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.

2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.

Scheduled for 5 weeks IMRT in July

JohnT


Pelahatchie
Regular Member


Date Joined Jul 2007
Total Posts : 86
   Posted 7/1/2009 10:39 AM (GMT -6)   
No tips here but I was never asked to do that and in fact I emptied my bladder before each session but I was in a salvage setting.

Age 45 at DX
 
DX 8/05 Gleason 5, Mayo clinic Second Opinion Gleason 6, PSA 2.8
 
Da Vinci surgery Dr. Dasari, Centennial Nashville 9/24/05
 
Pathology Report Gleason 6, 15 % on left side only very near to the edge of capsule, too close to call on margins, doc's said to watch it very closely, final decision T2A
 
PSA's have basically ranged from <.04 to .05 for two years.
 
no E.D. and no Incontinence, feel very blessed
 
PSA Nov 07 = .06
 
PSA Dec 10th 07 =.07
 
PSA Jan 4th 2008= .1
 
Started Guided IMRT on January 7th, 2008 to treat prostate bed and lymph nodes, completed on March 6th, 2008
 
PSA April 18th 2008 =.03
 
PSA August 18th 2008 = .01 or less, test only goes down to .01


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 7/1/2009 5:14 PM (GMT -6)   
John, I found it best to urinate soon after you drink the water. That way your bladder will be empty when the water gets there. Then, then, . . . .practice HOLDING IT!!!!

Regards,

Bill
August of 2006, PSA up to 4.2 from 2.7 one year ago. 
October free and total PSA 12% free and 5.0 total.
A month, or so later, 4.7.
Late in the year decide on Image Guided IMRT.
Begin 43 treatments on January 23, 2007 and finish on March 23.
 
Wow, almost two years behind.  I had a typical radiation bounce that
scared me, but it seems to be ok.  PSA is about 1.0 which is ok for
a rad guy at this stage of the game.
 
Got my FAA medical certificate back four months after starting my
treatment.  It's still a First Class, just jumping through a few hoops.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/2/2009 10:58 AM (GMT -6)   
32oz, might be too much for you. Try a smaller amount but make it consistent. They want the bladder full, not ready to explode. Some folks can't drink that much, especially after surgery, and hold it. You can practice at home with what amount you can hold and for how long. Again, it is important to be consistent.

Tony
 Age 47 (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 (May 11, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


BillSD
Regular Member


Date Joined Sep 2008
Total Posts : 143
   Posted 7/2/2009 11:40 AM (GMT -6)   
For me it was a double cruelty joke. First, I had undergone RRP a couple months before IMRT, and we all know the #1 side effect is incontinence. So telling an incontinent man to drink alot of water and hold it was an interesting challenge. A couple times I barely made it off the table before Mother Nature demanded relief. Plus I am a bit claustrophobic, so asking me to remain perfectly still for ten minutes was a lot of fun, too. But heck, if I can do it, anyone can. :-)

I agree with Tony, 32 oz. seems a bit much.

Good luck.
Bill

Age 61 (59 @ Dx) PSA 4.4

Biopsy 5/15/08 Gleason (3+3=6)

Bone scan and pelvic CT: clear

HT - 2 mo Casodex, 3 mo Trelstar

RRP Surgery 9/15/08

Post-OP Gleason 3+4=7, Stage pT2c pN0 MX

SV, perineural margin, 18 lymph nodes, bladder neck: all carcinoma free

Perineural invasion & Distal Margin: Carcinoma present

IMRT adjuvant radiation (35 Treatments) Ended 1/27/09

PSA (10/13/08) <0.1 - (3/13/09): <0.1


maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 789
   Posted 7/3/2009 3:01 AM (GMT -6)   
Hi, I only had to drink 250ml and hold it 1 hour before my radiation, it was not too bad.... unless they were running behind!! by the way mine was salvage.

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck, free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept.

PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.

Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 0.5


Ken S
Regular Member


Date Joined Nov 2006
Total Posts : 120
   Posted 7/4/2009 5:49 PM (GMT -6)   
John,

I would empty my bladder one hour before my treatment and then drink a 20 oz. bottle of water. I would bring a bottle with me, if there was a delay and I was uncomfortable I would partially empty my bladder and then drink more water.

I believe by filling the bladder it moves the colon away from all the action. I think they also want the anatomy to be somewhat consistent day to day.

Ken
Age 54 (2006) PSA: 2005 - 3.2, 2006 - 3.7
Biopsy 8/06, Gleason 6 (3+3), T1c
Radical Retropubic Prostatectomy 11/3/06 Post-Op Biopsy, Gleason 6 (3+3), T2c, right apical margin positive
CT Scan 1/07, tumor discovered on right kidney (unrelated to PCa)
Partial Nephrectomy 3/9/07
IMRT (37 Treatments) 4/23/07 - 6/14/07
PSA: 6/09 - 0.03


Fensty
New Member


Date Joined Oct 2008
Total Posts : 12
   Posted 7/6/2009 9:34 PM (GMT -6)   
John,

I basically adopted the same procedure as Ken. If my time was delayed and I was not able to hold it anymore, I would partially empty my bladder and maybe drink a little more water. By the last trimester of my 44 day treatment regimen, I got pretty good at it.

Charlie
Age 59, Good health
Diagnosed July 2008

PSA 3.89, DRE neg

Gleason (3+3) - 6

6 of 12 cores

Nov 13, 2008 - Robotic Prostatectomy aborted due to adhesions

Jan 5, 2009 - Calypso Beacon implants

April 2, 1009 - Completed 44 days of external beam radiation at the Univ of PA

June 4, 2009 - PSA 2.25; No side effects from radiation

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