SRT with balloon began yesterday

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dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 11/5/2009 2:11 PM (GMT -6)   
I started my SRT yesterday, I'm getting it a little differently than most of you.  I'm having 6840 Greys delivered over 38 treatments with the first 20 being full pelvic radiation.  I also am having a endorectal balloon put into place before each treatment.  I met with the Dr. today and quizzed him a little more on the balloon deal and his claim is that it not only reduces any harm being done to the rectum but also stablizes the area and allows for a better radiation treatment.  He said that they can regulate the amount of fluid in the bladder(drink 8 oz. on an empty bladder before treatment) but there is no way to regulate whether the rectum is full, half full or empty each treatment.  With the balloon in place it doesn't matter because the rectum is secured behind it and doesn't factor into the equation.
  
Let me be the first to say, it is a little uncomfortable during treatment but the techs. are so professional my treatment has only lasted approx. 5-10 minutes each day so its something I have decided to put up with. 
 
As someone on the board mentioned earlier, this treatment is the norm. during proton therapy
 
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 : 25364
   Posted 11/5/2009 3:09 PM (GMT -6)   
David, I have heard of the balloon method they are using on you, my own dr talked about it once with me. If they can do your treatments in 5-10 minutes per day, sounds like a miracle to me, lol. Mine have ranged from 20 minutes to as much as 65 minutes per treatment.

Good luck on yours.

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 11/5/2009 7:06 PM (GMT -6)   
Dear 131,
 
Like you, my 88 gy involved the dreaded balloon.  I researched it in much detail and learned to my satisfaction that it is best practice.  In fact, your doc is losing money by doing it.  I think that it does not get reimbursed.  Please drink the water about 45 minutes prior to each treatment.  In fact, I ate the same amount of food at the same time each day.  I spent about 7 minutes in the treatment vault for each treatment. 
 
Best to You,
 
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.
 
October, 2009.  Latest PSA is still 1.0 - that would make you surgery guys nuts, but it's just fine for a rad guy.


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 11/5/2009 9:03 PM (GMT -6)   
Purg:
One of the reasons my treatment time has been so short I believe is I am one of the first patients in the morning.  Just got lucky on that draw I believe.
 
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 : 25364
   Posted 11/5/2009 9:29 PM (GMT -6)   
David,

I thought mine were mostly slow because I am here in the deep south, lol. while the other radiation machines at my clinic stayed booked up and even get into holding patterms, the IMRT only machine I am on rarely has people waiting. My doctor took the time to explain how intricate the alignments were with IMRT, and to be patient.
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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place

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