There is nothing wrong with your decision and protocol and it has a good statistical record and for even a high risk patient (as to control and long term side effects)...the key in any treatment is the expertise of the one doing such. It is quite likely you will do well as to possible side effects from this and might even have manhood intact down the line and continency, so there are some positives to look towards (coming from this dark horse-LOL).
I would presume you are getting IMRT radiation via photon rays and not using any outdated machinery like EBRT machines. New patients whom likely know little or nothing on radiation there are various types of machines available, 3 possible rays that can be used against PCa and they have differences within them. Type of delivery, exposure time-rates-amounts are variables that the rad-onco doc could advise you about
, if interested. With seeds and exterior radiation it can be done, seeds first or outside radiation first (there are discussions on the merits of even that). Total body
exposure to radiations, has a limit also as to the safety range and you could ask your doc are you getting the absolute max within those limits, if your case merits such, not all cases would merit such. You can read about
side effects that are considered the normal course of action so you know what you can probably expect. It can be better than one might anticipate, in the old days radiation was bad with alot of collateral damage and patients with issues thereafter...I believe that is not what is the norm today and now.
Zufus-aka Neutrondbob: radiation & hormone therapies (patient-victum-LOL) -glad I found an excellent rad-onco doc with alot efforts (multiple opinions), Dx-2002 (total urinary blockage to emergency room) bpsa 46.6 12/12 biopsies 75-95% range in all of the 12 cores, with gleason scores found 7,8,9's on both sides of the gland, ct and bone scans showed clear (not definitive enough either is the way it is on such). Radiations:
2-machines used: Cyclotron-Neutron rays 10 sessions and then IMRT-photon rays about
20-25 sessions, got maximum rates I was told and asked for such. Still here and doing fine at this juncture...so coming up on 8 yrs., hopefully that inspires your case. One opinion I got was from Dr. Menon 1st DaVinci doc in USA, he said blunty...I will not do surgery on you... He did not want the money nor probably the failed patient to show up a few weeks later. I valued his frankness and non-sugar coated opinion. The other surgeon I saw the day before his opinion was guaranteeing me a cure and 1% chance of incontinence. So, I was not shopping for the opinion I wanted to hear but for the truthfulness of what am I dealing with, maybe some see the value of second opinion(s).
Best to you
Post Edited (zufus) : 11/1/2009 7:36:23 AM (GMT-7)