I recently finished SRT with the Varian Rapid-Arc, the process from start to finish each day was less then 15 minutes, however as with all the Radiation Therapy it was 7 weeks every day and that was exhausting. The device is a combination of 3D-conformal and IMRT, it is very precise and causes less damage to the health tissue around the target area. A new Proton Beam Center just opened at the Hospital of the Univerisity of PA, but after I started my treatment.
PSA - 2008 = 2.4
PSA - 2009 = 3.2
Family Doctor recommends seeing Urologist. Concerned about
change and fact that I have taken Saw Palmetto for years. Thinks the SawP schewed the PSA down.
1/09 - Urology exam - Dr. thought is was an infection until DRE, felt nodules, scheduled Biopsy.
5/1/09 - Biopsy 6/12 core samples positive - Classified 3+3 T2C.
5/21/09 - Urologist spent 2.5 hours with wife and I explaining all options. Chose DaVinci surgery
7/30/09 - DaVinci surgery performed - 1 night in hospital, cath - 10 days.
Both nerves spared
No PNI involved
No Seminal vessel involvement
Positive Margins - Left Apical Microscopic margin.
Post surgical PSA = 0.2
Nov 2009 - 100% Continence (no pads).
PSA Dec 1, 2009 = 0.4 (I am getting nervous now, it doubled). Urologist recommeds Adjuvant Radiation using Rapid Arc.
Pre Radiation PSA = 0.8 (doubled again, uggh!)
Jan 27, 2010 - Began IMRT x 36 treatments @1.8 Gy = 64.8 Gy. Completed March 17, 2010. Minimal side-effects.
April 28, 2010 = Follow-up exam with Radiologist - PSA stayed at 0.8. Didn't move, which is good.
July 2010 next PSA.