Cannot comment with experience on a large prostate with IMRT effects, but rest assured that whatever problems your father is having already with BPH will only get worse after radiation ( at least for a time).
It is really too bad that your father did not have the option of a prostatectomy. With a prostate that large he would have gotten two or three benefits for the price of one.
No more BPH and it's annoying urinary symptoms .
Life sure is good for me now that my BPH is gone gone gone - almost worth the ED that came to stay in it's place -- but at least I don't have to Run To The Bathroom all the time for ED issues - hah hah hah).
I would hope no more TURPS ever -- ouch -- even the name sounds painful.
And hopefully no more PCa ( they routinely take the seminal vesicles in surgery anyways so no big loss there if that was the only escape).
Also the surgery lets the doc see the full extent of any extra-capsular invasives -- if any -- (how did they know about
the PCA in the vesicles -- did they do a Biopsy there --ouch!)
And after surgery he'd would have had some time to assess the PSA: if staying at zero (no or little PCa escape) or whether if it was already on the move upward then HT and IMRT considerations and all that entails.
What was the original discussion about
surgery? I know it is too late now for surgery and I am sure a Uro would never have suggested radiation (uros are surgeons - they want to surge!). Just interested in how much escape from the prostate there might have been to rule out surgery.
Age 59, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
open RRP surgery ,Nerve sparing, 1 day in hospital.
02/18/09 Cath out -- passed 1 cm oblong bladder stone (not kidney!).
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- (some tumescence 02-03/2010).
04/01/09, 07/07/09, 10/01/09, 01/15/10 PSA <0.1
08/09-09/09,02-03/10 MUSE@1000mcg (very little ache ) 80-90%
10/09-11/09 TrimixGel@(500/300/100mcg): 60,70,80%,
02/10-03/10 TrimixGel@1000/300/100mcg - 80-90% - just @ usefulness.
If Gel + MUSE 500mcg -- 100% for 60 mins and 80-90% for hours (good blood flow therapy for sure).
Post Edited (JimStars) : 4/6/2010 6:38:07 PM (GMT-6)