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dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 10/15/2009 9:59 AM (GMT -6)   
I did my set up yesterday for SRT to begin in few weeks but I had something done that  I haven't heard of any one else having so far.
 
While doing the CT scan, they inserted a small rode up my rectum, the rod had a baloon on the end of it which they filled with water, once it was in place the baloon  supposedly pushed the bladder away from the area they are planning to radiate.  This process will happen each time I go in for SRT, they said they do it with all of their prostate guys because it completely eliminates any complications post radiation.  Although it was a little uncomfortable, it wasn't unbearable and was quick to insert.  Anyone with any similar experiences or guys that have had SRT or are having it now  I'd appreciate your input.
 
On a little different topic, I never realized how much this disease has changed my view of things but here's an example:
As all of the salvage guys know, a catherter is placed in the penis before the CT exam to see exactly what the fluid amount is prior to the CT, well I drew two beautiful 30 something ladies to place the catheter in, in my prior life I would have paid big money to have a blonde and brunette love godess stand ove me and handle "woody" but when i looked up through the pain of having the catheter inserted to see two beautful babes sweating like a couple of pigs trying to get it inserted the romance went out the window and the pain took over again.  When I got home and told my wife the story she just chuckeled and said: "Experience counts"
 
Life has changed.
 
David
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/15/2009 10:08 AM (GMT -6)   
Gee David, never heard of that way of having SRT, I would not be happy with having something shoved up my bum each session. Different clinics, different ways. Good luck on that.

Yeah, nothing sexy about having any kind of catheter shoved down your penis, pretty girls or not. Sure they were fantasizing about having sex while they were doing it, lol. Through the PC process, we all have to endure our share of embarassing and degrading situations.

Good luck to you on your treatments. I am off for #9 today of 39.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 10/15/2009 10:23 AM (GMT -6)   
Is this salvage proton treatment?

dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 10/15/2009 10:40 AM (GMT -6)   

Squirm:  No its IMRT .

David


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4276
   Posted 10/15/2009 10:45 AM (GMT -6)   

David, the reason for Squirm's question is that the typical process during PBT is balloon insertion in the rectum during each treatment.  Hence their fraternity, "Brotherhood of the Balloon" for those who have undergone that protocol.  I know nothing about it with SRT, but thought I would share that little gem of knowledge for those who care...

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 9/1/09.  6 month PSA  1.4 and my docs are "delighted"!

dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 10/15/2009 1:03 PM (GMT -6)   
Tudpock
Thanx for the clarification, I actually looked into Proton salvage but it wasn't feasible because of distance. 
I'll contact the rad. doc I'm seeing and get a better explanation of their treatment but I bet it is very similar to the Proton reasoning which is probably that the side effects down the road are diminished in their opinion.  I'll post the comments when I get them.
 
David
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
 


O Buddy Boy
Regular Member


Date Joined Oct 2009
Total Posts : 106
   Posted 10/15/2009 2:18 PM (GMT -6)   
Ha! "Experience Counts!"

That is for sure. After 25 years in surgery and 4 years at a UR clinic, my wife has plenty of tales to tell about those "Hotties." Most are there to nab a cardiologist or big-buck neurosurgeon. It's not YOUR member they're really interested in tending to. ;)

You want an older nurse who has seen everything, done everything and runs a room like a Chief Petty Officer runs a tight ship. "Stare at those shoes when you whine 'Yes, Dear', Mister!"

She may be mean old bird to her co-workers, but she still is a "Hottie" to me.

Hope things go well for you. I'm new at this and watching everyone carefully.

OBB
55 yo
Dx:9/29/09
DRE: Susp
PSA: 3.5
Gleason: 3+4/7
6/12 Cores Positive; Sextants were 1%, 3%, 8%, 15%, 12%, 0%
RALP: 10/10/09
PATH:
Margins: Clear
Lymph Nodes: Clear
Seminal Vesicles: Clear
Gleason: No increase from biopsy 3+4/7
Some perineural and capsule invasion.
T2c,NO,MX


dsmc
Regular Member


Date Joined Jul 2008
Total Posts : 150
   Posted 10/15/2009 3:44 PM (GMT -6)   
Hi David,
Just my experience with this, I was not probed in either location during my IGRT.....like David in S.C. good luck with that...lol. I hope everything goes well with your SRT. Mine was pretty uneventful which is a good thing! I do tend to agree with your wife..gimme the experienced ones in every aspect.

David in Alabama
Age 54
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....
FINISHED 01/14/09 YEA!
05/14/09
1st PSA after Salvage RT <0.04..... Another YEA!


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 10/15/2009 4:18 PM (GMT -6)   

 

Tupdock you were correct that the proton success has led them to do it with SRT.

Just spoke with the rad. onc over the phone and he said that they have been doing the SRT this way for the last 8-10 years, he went so far as to say if you would prefer to not have the rectum balloon they will gladly refer you to some other facility.  He also mentioned that this was started because of the success that was acheived in Proton therapy, in his opinion the Proton therapy was less invasive not because of the Protons but because of the extra precautions that were taken during the delivery to include the balloon.  I liked his take it or leave it attitude, they're certain it helps in the long run.

I think I'm litterally going to be taking it up the a-- for the next two months.  

I'll keep you informed on how it is going.

David

 


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
 

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