squid, my brother, really bothered by all your negative news, feel for you.
at .25, I wouldn't mess around on the salvage radiation, you don't want to keep climbing or doubling on you, you are still at a real effective range according to my radiation oncologist.
as far as the stricture issue goes, remember, that's why I had the SP cath installed a week before my SRT began. It was a pre-emptive decision knowing that the SRT could cause another stricture or total blockage during or shortly after radiation, and for us few guys that have a lot of stricture problems, its almost a certainty, adding another complication to your problem. At least discuss my case with your uro, and if you/he/she wants to, I will be happy to give you his name/number in case he wants to compare notes on the stricture issue. My uro was less than 100% at first, but after consulting with my rad oncol, and now that he has seen what has happened to me because of radiation, he's a big believer in what was done. He said dealing with a stricture in the middle of radiation would have been a true emergency situation, and that I would have never been able to take the pain of having a foley in place what that area was enfllamed from radiation.
keep me posted, brother, you have a lot on your plate all of a sudden. dont let it overwhelm you. keep each of your problems and situations in seperate boxes, and deal with each one individually. That's how I handle mutiple problems and crisises.
if you need any help, just call on me, hoping the best for you
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, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04
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 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29