Question for BT/Rad Guys

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JoeFL
Regular Member


Date Joined Oct 2009
Total Posts : 420
   Posted 2/5/2010 12:26 PM (GMT -6)   
Question for the guys who have had BT, RT or a combination of both:
 
When did the commonly reported side effects of urgency, frequency, burning, relative to urination begin to subside? And did you take anything to help other than Flomax? Thanks,
 
Joe
 
_______________
 

Age -67 PSA - 4.5

Biopsy  (9/4/09) - Positive in 5 of 8 cores. In those 5 cores, 5 of 11 samples were positive. Gleason 3+3=6. Stage – T1C  Ct and Bone scans negative

 

BT performed on 12/11/09. 84 seeds of Palladium 103. Surgery at 7:30 - Home at 12:30 same day with no catheter. Side effects as expected -  some burning, frequency, urgency. (Blood in urine stopped after 1 week).  Resumed daily  1 ½ mile walk after 3 days.

 

BT will be followed with 25 IGRT treatments beginning Feb 8. 

 


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4229
   Posted 2/5/2010 3:19 PM (GMT -6)   
Mine lasted for about 4 weeks. 4 to 8 weeks is the norm. Iodine 125 lasts longer than Paladium 103 because of the half life of the isotope. I started IMRT 6 weeks later and had no frequency or urgency during the treatments.
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


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4157
   Posted 2/5/2010 3:50 PM (GMT -6)   

Hi Joe:

I honestly didn't have much urgency but I did experience some frequency for about a month.  I took nothing but Flomax (for 4 months).  Also, I was very religious about no alcohol, no caffeine and nothing spicy for a full 3 months...my doc told me that would help immensely.  I don't know if it did, but my SE's were very mild.

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 12/09.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

JoeFL
Regular Member


Date Joined Oct 2009
Total Posts : 420
   Posted 2/5/2010 7:35 PM (GMT -6)   
Thanks John T and Tudpock. I seem to be on the same track so far (with the exception that neither of you mentioned the burning sensation...I'll have to ask the doc about that). That said, I have found the SE's very manageable.  Hope I have John T's outcome with the follow-up 5 weeks of IGRT....no effects.
 
Would appreciate hearing from any others who would care to weigh in. Thanks,
 
Joe
 
_______________________
 

Age -67 PSA - 4.5

Biopsy  (9/4/09) - Positive in 5 of 8 cores. In those 5 cores, 5 of 11 samples were positive. Gleason 3+3=6. Stage – T1C  Ct and Bone scans negative

 

BT performed on 12/11/09. 84 seeds of Palladium 103. Surgery at 7:30 - Home at 12:30 same day with no catheter. Side effects as expected -  some burning, frequency, urgency. (Blood in urine stopped after 1 week).  Resumed daily  1 ½ mile walk after 3 days.

 

BT will be followed with 25 IGRT treatments beginning Feb 8. 

 

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