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zachattack
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 12/19/2009 12:36 AM (GMT -6)   
I have a question for my fellow IMRT brothers.I am going to start IMRT 1-6 10,they told me that the first time I came in they were going to put a catheter in to make sure my bladder is full.My question is will that have any affect on what progress I have made thus far with my incontinence?I am just a little weary having this done.any input will help.Thanks.

Zach
age 55dx 12-2008,psa at biopsy 8.6
biopsy 12/12 gleason 3+4=7
da vinci surgery 6-09 nerve sparing by DR. John W. Scott (my hero)
Hospital 3 days cath 7days still leaking from cough(bad lungs)
still have ed may be the hormones.
9-09 psa 2.2 hormone inj
10-09 nuclear bone scan no results yet I will have gold markers placed 12-29-09
start rad 1-10-10
organ confined
extracapsular seminal vesicle involvement
lymph node involvement


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 12/19/2009 5:19 AM (GMT -6)   
So to make sure your bladder is full, they are adding water I presume??? Usually it is heard that we radiation patients should drink a decent amount of water prior to our sessions so as to fill up some or all of the bladder as this helps for doing radiations, to our benefit.

Best to you.
Youth is wasted on the Young-(W.C. Fields)


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 12/19/2009 6:33 AM (GMT -6)   
Zach, when we met with the rad onc back in October, she said that my husband would have to drink at least 2 large glasses of water or another liquid to ensure that his bladder was full. No mention of a catheter, which I doubt my husband would have gone for. The explanation for a full bladder was that when it's full, the bladder pushes the bowel back which moves it further away from the radiation field.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009- 0.1, September 0.3, October back to 0.0, December 0.0. Thank you God!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/19/2009 9:27 AM (GMT -6)   
Sephie, that is the normal approach what you describe and for the reason you mentioned. That was why mine was so weird, all my iMRT was done with a catheter in place, not to hold water in, but to keep the bladder empty the whole time. It seemed to contridict the normal reason/thinking. When I asked the dr about not having any fluid in the bladder, she said she figured out a way to work around it.

To the person who wrote the question, with my background, they would have gotten a big no from me if they had tried to put another cath into me.

Guess different drs do different things for different reasons
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4223
   Posted 12/19/2009 10:59 AM (GMT -6)   
Zach,
I would really question that. I never had a cathether and never would have agree to one. If you drink 32 oz of water that should be more than sufficient. Many centers require only 16 to 24 oz.
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 DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology 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. G7, 4+3, approx 16mmX18mm.

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. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 12/19/2009 11:08 AM (GMT -6)   
Zach: During the set up it was suggested that I have a catheter
put in for the same reason, they began to try it and it was very painful.  I stopped them and said we we needed to find another way, they checked with the Dr. and he suggested that I empty my bladder and then drink 8 oz. of water and wait an hour and then begin the process.  This is what I do before every session now.  The idea behind the specific amount of water after emptying the bladder and waiting an hour is to attempt to have the bladder in the same position and filled to the same level each session or as close as possible.
 
I would suggest you go that route if possible.  By the way have they mentioned anything about a balloon?
 
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.
 


Gmike
Regular Member


Date Joined Jan 2009
Total Posts : 48
   Posted 12/19/2009 12:49 PM (GMT -6)   
Zach,
I was required to drink 16 oz of water 30 minutes before the treatments. I was to finish off the water as quickly as possible. Before each treatment, they checked my bladder with ultrasound to make sure it was full. In each of the 30 treatments the ultrasound test was okay. The only problem I had was a couple of times the treatment was delayed, so I was starting to get some urgent feelings of needing to urinate.

I did have a catheter used by my uro to inject water for a flow test. The tube was smaller than a normal catheter and caused no problems.

Mike
Dx: 05/21/2009 (age 58)
1 core of 12 positive (10%), Gleason 6, Stage T1c, PSA 5.2 (21% Free)
Family history: Grandfather had PCa, died at age 79 of other causes, Father had PCa still living at age 80 cancer free (11 years)
07/15/2009 TUMT (Transurethral Microwave Therapy) for BPH
08/29/2009 Started on Casodex
10/5/2009 Color Flow Doppler at Dattoli upgraded stage to T3a, started Avodart
10/12/2009 to 11/20/2009 IMRT at Dattoli Clinic in Sarasota
12/03/2009 Brachytherapy performed by Dr. Dattoli

Post Edited (Gmike) : 12/20/2009 12:02:32 PM (GMT-7)


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 12/19/2009 12:50 PM (GMT -6)   
Okay guys, now I am really confused as h*ll. At no time in my process did anybody mentioned that I had to drink fluids before treatment. In fact the last thing I do before going into the room is go to the john so I don't have to try and hold anything while I am in the middle of the treatment.

After reading this thread I went back and looked through all of the documents they gave me for the treatment plan and there was no mention of drinking water. A new question I will be sure to ask on Monday before my next treatment.

Zach, I am approaching treatment 16 of 35 on Monday and as you can see I don't know anything about any water retention for the IG/IRMT treatments. To date I do not have any side effects from the treatment; including the dreaded loose stool, or blood or discomfort or anything.

So color me clueless on this one.

Sonny shakehead
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 12/19/2009 1:06 PM (GMT -6)   
Sonny: Just like everything else with this disease, it depends on who you talk to whether the water is a good idea or not. I actually have an endorectal balloon inserted before every treatment also, its a little uncomfortable but not too bad. I looked at the studies for it and it does appear that 3 to 4 years down the road the balloon shows to have protected the rectum better than not having it. All of the proton guys do it,thus "The Brotherhood of the Balloon."

I have 6 treatments left (38 total) and have had no side effects except for a little burning urinating from time to time.

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.
 


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 12/19/2009 1:42 PM (GMT -6)   
Zach,

I 'm not sure where you are on incontinence. The water and balloon most likely will only a a temporary impact. Sometimes just the irritation of the catheter, and holding the sphincter open for a while can make it a little lazy, but you should recover quickly form that.

Many say that the radiation however, may freeze your progress in the incontinence, permanently. I am sure many of our rad guys can speak better to that. So if you are continent now, or pretty close, you will probably be ok.

Good Luck, and please keep us posted. I am still waithing for the other shoe to drop with my G9, so I am watching all you guys.

Goodlife
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injections


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4223
   Posted 12/19/2009 4:41 PM (GMT -6)   
Sonny,
My rad oncologist explained that drinking water expanded the bladder and moved it out of the way of the beam. He drew me a picture of the prostate and the bladder, when it is empty, deflates and rests against the prostate and gets a full blast of radiation. When it is full just a small part, around 20% is in the radiation field. Every center does it differently, but some centers get better cure rates and less side effects than others.
JT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology 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. G7, 4+3, approx 16mmX18mm.

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. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 12/19/2009 6:33 PM (GMT -6)   
Hello Zach,
 
My routine was a 20 oz bottle of water on the drive to the treatment. (about 20 minutes + 15 minute wait in the reception area) I could not wait to get off the table and head for the restroom. The doctor said the same as JohnT's and that it helped to keep everything in the same place from treatment to treatment. By the way when they did the mapping prior to any raidation I had the bottle of water first.
 
Best of luck to you.
Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones 
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
 
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/19/2009 6:39 PM (GMT -6)   
Sonny, your rad doctor must be doing your's working around the water issue, as I stated above, all 39 of mine was done without any input. At first, I expected them to clamp my cath and force the bladder to fill. The dr. said that she compensated for that when she mapped out my IMRT plan. I was glad not to have the bloated wanting to pee feeling that other men have r eported undergoing the treatments. One of my fellow patients, was having non IMRT rad for prostate cancer, and he had to drink 20 oz before each treatment, I remember him complaining about it all the time. Guess like all of our treatments, different ways for different people for different reasons for different doctors. Sure your doctor knows what is best for you in this case, but certainly wouldn't hurt to ask Monday.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


Jim B
Regular Member


Date Joined Mar 2009
Total Posts : 45
   Posted 12/20/2009 12:17 AM (GMT -6)   
Zach,

During the initial visit to radiation when they were setting up my treatment they did insert a catheter but I can't for the life of me remember why they needed to do that. I was also required to drink lots of water before each radiation session. In fact, they kept the bathroom next to the radiation room vacant and a reserved sign on it just for me as soon as the radiation treatment was over. Towards the end of the radiation series of treatments it became more and more difficult to manage a full bladder.

Jim
Dx age 48 PSA 11.58
Biopsy Nov 04
4 of 6 specimens positive
gleason 4+5=9
Perineural invasion at two locations
40 radiation treatments Jan-Mar 05
PSA May 05 0.07
Aug 05 - 0.15; Feb 06- 0.92; Oct 06- 0.55; Sep 07-0.42; Mar 08-1.13 Aug 08-2.26
Nov 08-3.98; Jan 09-5.81; Mar 09-9.02
Bone scan in Nov 08- one spot in pelvic region 1.9cm with SUV of 11
Bone scan in Mar 09-two spots. Original now 2.5cm with SUV of 22 and 2nd spot less than 1cm with SUV of 7.8
Bone scan in Nov 09 - NO CHANGE WOO HOO!


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 12/20/2009 5:39 PM (GMT -6)   
This is quiet interesting. I had 44 rounds of IMRT and never not once was it mentioned to me about filling my bladder. Heck there was never a mention of me even drinking fluids. now I hear about a catheter prior to the treatment. I believe I would ask more questions. Not saying it isn't right it just seems odd.

peace to you
dale
My PSA at diagnosis was 16.3
age 47 (current)

http://www.caringbridge.org/visit/dalechildress

My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11

PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
PSA July 28th 2009 is .01
PSA OCt 15th 2009 is .11

Testosterone keeps rising, the current number is 156, up from 57 in May

T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores
92%
80%
37%
28%


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/20/2009 6:06 PM (GMT -6)   
Dale, from what one of the radiation oncologists I met with said, was that with a full bladder, it keeps the bladder in the same relative position each day, and helps protect the area from any "scattering" that might occur during the zapping. They also said it helped keep the rectum out of the way.
 
Before they knew I was wearing the SP cath, they were talking about me drinking 20 oz of water just prior to each treatment, but once she realized I had an in-dwelling cath, she re-mapped me for the IMRT to compensate for that.

Once again, the wonderful world of PC variety, both disease, and treatment.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place

Post Edited (Purgatory) : 12/20/2009 5:11:49 PM (GMT-7)


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 12/21/2009 8:14 AM (GMT -6)   
For those wondering the reason for the cath, I believe this is it. First you empty your bladder to make sure all urine is out then they cath you and put in a precise amount of water, in my case 8 oz.(this is the amount they have me drink 1 hour before each session after emptying my bladder) then they do their set up C.T. scans and decide treatments off of those films. For each treatment you are to empty your bladder and then drink the same amount of water each day before treatment, mine is always 1 hour prior. As a few have said the reason for the water is to move the bladder to the same position on each treatment. With the new IMRT stuff its probably not as important as it used to be but is now just another safety technique.

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.
 


Fensty
New Member


Date Joined Oct 2008
Total Posts : 12
   Posted 12/21/2009 9:39 PM (GMT -6)   
Zach

I think the catheter procedure is most unusual. The most common procedure is to drink 16 oz of water 1 hour before the procedure to endure that the bladder is full. I went through the 44 treatments with little to no side affects. I agree with some of my IMRT brothers -- there is no way I would deal with a catheter insertion every day for 44 days. Good luck and God bless.
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

November 30, 2009 - PSA 0.83; 8 months post radiation; feel great


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 12/22/2009 8:11 AM (GMT -6)   
Fensty: I may have not been very clear, the cath. is inserted only once, that is for the inital set-up, the rest of the time I did the same thing you did which was to drink a pre-determined amount of water before each session. I do have the balloon inserted before every session. Sorry about the confusion if I caused it.

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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