Update for Mr. Afterglo...

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afterglo
Regular Member


Date Joined Mar 2008
Total Posts : 72
   Posted 4/12/2010 6:16 PM (GMT -6)   
I'm sorry to start a new thread on our journey through the maze of PCa, but I couldn't find my original post to update it.confused
 
Last Wednesday we went to see Dr. Loblaw at Sunnybrook in Toronto. We were advised that this app't would involve pre-op and 'mapping' for the treatment we had chosen - brachytherapy. We were also told to expect an app't lasting 1.5 to 2 hrs. After only 40 minutes, Kurt was back saying that he wanted me to hear what he was being told. I walked down the corridor not knowing what to expect, and a 'consultation' was quickly organized in a treatment room.
 
It turns out that at this time the brachytherapy isn't an option for Kurt because, rather than being a more triangular shape, Kurt's prostate is a wide oval with his pelvic bones in front on both sides. One option was to shrink the prostate with hormone injections in the hope that a more optimal shape would be achieved. The second option was daily radiation for 31 days; the third was surgery, but it was the fourth option that appealed most to us, and that was high intensity radiation one day per week for five weeks. End of treatment. The side effects mentioned were urgency and frequency of urination as well as a burning sensation while urinating. All of those could/would be treatable with medication. The fatigue (minimal we were told) would subside with time.
 
Now that we've had time to think a little more about it, we're wondering whether this really is the way to go. There have been clinical trials dating from 2008 and all the patients are 100% clear of cancer so far (but that's barely two years).
 
Has anyone here heard of that treatment? If so, is it as effective and as free from harmful side effects as we were told?
 
A big thank-you for all your help so far in guiding us; I hope you will be able to help us with this.
Age: 71
PSA: 5/09 2.4, 11/09 2.8, 2/2010 3.85
Gleason: 3+3=6
DRE: normal
Biopsy results: 4 cores cancerous (left side) 1 suspicious and 1 spoiled (right side) 4 benign
Stage: T1 or T2
Volume: 5/09 38cc, 1/2010 51cc
Family history: yes


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 4/12/2010 7:45 PM (GMT -6)   
Afterglo,
At the age of 71 that might be a very good option. With the family history I think you would want to be fairly aggressive, but let others chip in. In the theme of things it has to be your call and as we say on here quite often, once the choice is made do not look back. Keep us posted and hope that all results will be positive.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10, Completed 39 tx at 72 gys on 3/12/10
Great family and friends
Michael


afterglo
Regular Member


Date Joined Mar 2008
Total Posts : 72
   Posted 4/12/2010 9:31 PM (GMT -6)   
Thanks, Michael. Kurt and I had decided to go with the bracytherapy, but we had to change course due to his anatomy.
 
When pressed, Dr. Loblaw would only list the other options available, but he did leave us with the reassurance that if one treatment fails, there's a backup treatment for it. He is a radiation oncologist.
 
I hope some of the other members of this forum will chime in with their opinions.
Age: 71
PSA: 5/09 2.4, 11/09 2.8, 2/2010 3.85
Gleason: 3+3=6
DRE: normal
Biopsy results: 4 cores cancerous (left side) 1 suspicious and 1 spoiled (right side) 4 benign
Stage: T1 or T2
Volume: 5/09 38cc, 1/2010 51cc
Family history: yes


afterglo
Regular Member


Date Joined Mar 2008
Total Posts : 72
   Posted 4/14/2010 4:44 PM (GMT -6)   

Correction:

According to our daughter who heard the oncologist's explanation with us, the first trial was in 2006. Since that time, many trials have taken place with optimal results - few side effects and no recurrence.

I can't find any of those results online and probably couldn't understand what I read anyway. Has anyone here even heard of or read about this treatment?

I'm trying not to obsess about the whole matter, but this is my one and only husband of 47 yearssmhair . I've read and been told 'his body/his choice', but geez, I'm not shopping for another...evershocked .


Age: 71
PSA: 5/09 2.4, 11/09 2.8, 2/2010 3.85
Gleason: 3+3=6
DRE: normal
Biopsy results: 4 cores cancerous (left side) 1 suspicious and 1 spoiled (right side) 4 benign
Stage: T1 or T2
Volume: 5/09 38cc, 1/2010 51cc
Family history: Father died at age 65 of a combination of prostate and lung cancers

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