Nerve damage after Salvage IMRT

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Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 2/22/2010 9:07 AM (GMT -6)   
I was starting to regain natural erections about 16 months post RP.  I had 37 IMRT treatments ending in July 2009.  Since then, I have been only able to obtain a quality erection using Bi-mix.  The rad doc said about 70% of men can still attain erections with viagra after these treatments.  He didn't comment on whether it will improve over time.  Any salvage rad guys out there with advice?
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Started IMRT June 13, 2009
Completed 37 treatments July 31, 2009 (66.6gy)
11/23/09 Post IMRT PSA .18
2/12/10   Post IMRT PSA 0.00


Pelahatchie
Regular Member


Date Joined Jul 2007
Total Posts : 86
   Posted 2/22/2010 1:14 PM (GMT -6)   

Boot,

I am about to pass the two year mark on my salvage radiation.  I had no issues with ED after the surgery and my radiologist felt I would not have any trouble after the radiation.  I think my age and current function at the time is what drove that statement from him. 

With that said I did experience some issues about 1 year out but things seem to have returned to pre radiation status over the past few months.  I have read that the two year mark is the best toll gate on ED status as the radiation continues to work for that period and your body will fully recover over that period.

Hopefully you will see improvement soon.

 

 

 

 


Age 45 at DX
 
DX 8/05 Gleason 5, Mayo clinic Second Opinion Gleason 6, PSA 2.8
 
Da Vinci surgery Dr. Dasari, Centennial Nashville 9/24/05
 
Pathology Report Gleason 6, 15 % on left side only very near to the edge of capsule, too close to call on margins, doc's said to watch it very closely, final decision T2A
 
PSA's have basically ranged from <.04 to .05 for two years.
 
no E.D. and no Incontinence, feel very blessed
 
PSA Nov 07 = .06
 
PSA Dec 10th 07 =.07
 
PSA Jan 4th 2008= .1
 
Started Guided IMRT on January 7th, 2008 to treat prostate bed and lymph nodes, completed on March 6th, 2008
 
PSA April 18th 2008 =.03
 
PSA August 18th 2008 = .01 or less, test only goes down to .01
 
PSA August 21st 2009 = .01 or less
 


zampilot
Regular Member


Date Joined Aug 2009
Total Posts : 152
   Posted 2/22/2010 3:59 PM (GMT -6)   
I asked my Rad Doc about what damage would be done, he stated that it's not much the nerves but the blood vessels that are affected by the tx. I was starting to get better in the ed dept but rad sent me back to square one.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/22/2010 4:18 PM (GMT -6)   
i am only 3 months post SRT, and so far, not that I get many ops with a cath still in place, the radiation had no effects on my errections. had no ED before SRT, and still none post. i realize that good fortune may come to an end at some point in the future due to the radiation
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: 1/10 .12
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

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