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dmc24
Regular Member


Date Joined Aug 2007
Total Posts : 37
   Posted 8/16/2010 8:49 AM (GMT -6)   
My husband is thinking about having brachytherapy? Has anyone had this or have an adivce about it. His Gleason score was a 3+3 = 6.

 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4271
   Posted 8/16/2010 10:39 AM (GMT -6)   
Dear dmc 24:
 
I was a brachytherapy patient and have been pleased with the results.  I invite you to select the link in my signature if you would like to see some details about my "journey".
 
Also, without seeing the full stats on your hubby, it is really impossible to say whether or not he is a good candidate for the procedure.  Sometime back I posted the following and maybe this will be helpful:
 

A typical poster-boy candidate for brachytherapy will have Gleason 6 or less, a prostate size of 50cc or smaller, Stage T1-T2, and PSA less than 10.  With G-7, brachytherapy alone may also be used if all of the other criteria are met plus cancer found in only a few cores and with a small %.  Otherwise, the doc will typically use HT to lower the prostate size and/or supplement the brachytherapy with a 4-5 week course of additional radiation therapy.

I hope this is helpful.  Typically the cure rates from brachytherapy and/or IMRT are equal to surgery but with far less onerous side effects. 

As regal indicated, one of our forum members, JohnT, is a highly knowledgeable brachytherapy patient and he may weigh in on this thread as well.

Please let us know how you progress and feel free to email me if I can be of more detailed help.

Tudpock (Jim)


Age 62, Gleason 3 + 4 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 4/10/10.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4268
   Posted 8/16/2010 11:00 AM (GMT -6)   
DMC,
There are many studies that support the idea that Brachytherapy has a similar or better cure rate than surgery with much less side affects. You can google the Prostate Cancer Study Group Results, or Seattle Prostate Institute or Chicaga Prostate Institute. All have very good long term data on the effectiveness of Brachy. The Key, as with any treatment, is to get a well respected doctor that has done at least 500 procedures.
The procedure itself is about 1 hour and you can resume work or normal activities the next day. Normal side affects are urinary frequency and urgency for aout 6-8 weeks and are very tolorale with medications.
I would also investigate Active Survelience if your husand's stats make him eligable.
I would also read "Brachytherapy and IMRT" by Dr Michael Dattoli.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


JoeFL
Regular Member


Date Joined Oct 2009
Total Posts : 420
   Posted 8/16/2010 12:50 PM (GMT -6)   
dmc24,
 
I had a combination of BT and IGRT. My first inclination was to have surgery but I changed my mind after doing some research....which included reading a lot of accounts here on the HW site. I finally decided that, at my age, remaining quality of life was very important to me and the treatment I finally chose has had very little impact on that so far....no ED and no incontinence. I'm very happy with my decision.
 
That said, you should explore all the options open to you and keep in mind that uros want to cut and radiologists want to zap. Get opinions from both and ,in the end, do what feels right for you. Other than that, I can't add much to what John T and Tudpock have said above.  Best wishes,
 
Joe

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 8/16/2010 12:55 PM (GMT -6)   
The expert to see is Dattoli if you are getting this proceedure or seeking more advice and info. They may send you a disc or booklet www.dattoli.com  he has plenty of experience in this, patients claim the care and discussion time given to them exceeded their other doctors encounters and raved as such. You might be a candidate for A.S. as John T mentioned, look into all your options.

Even within brachy there are different choices and types to consider, fyi.
www.dattoli.com  (Florida)

More info found at www.rcog.com     Georgia- (competitor of Dattoli's) has a disc too I believe
(suggested searching, you have alot of choices to look at in total)

medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1100
   Posted 8/16/2010 1:23 PM (GMT -6)   
Dattoli is certainly an expert. On the other hand, many people wil find it impossible to go to Florida for several weeks or more, which is typically required if you are doing external beam radiation as part of your treatment (BT only would be substantially less time).

There are other radiologists with huge expertise, though for whatever reason their names tend to come up less often on these boards. Guys like Anthony D'Amico in Boston and Richard Stock in New York -- as just two examples. If you tell us where you are located, someone here can make a recommendation.

Of course, if you are in a position to travel to Florida and stay there for some weeks, Dattoli would probably be a great choice.
Age 46.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5, 1.5
 

Post Edited (medved) : 8/16/2010 1:08:16 PM (GMT-6)


NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 464
   Posted 8/16/2010 2:20 PM (GMT -6)   
Check this article out about ED from radiation
 
 
When I was diagnosed three years ago, I too was looking at seed implant very closely because it seemed to have a better outcome for quality of life, and I was scared about surgery after reading many of the problems on this site.  After doing a lot of reseach and asking people directly, I came to the conclusion that surgery by a "GOOD SURGEON" gave me a better outcome for less ED than taking my chances with radiation.  A lot of the propaganda about seeds says you have no ED or continence issues , and yes that is probably true in the short term in the first five years, but it was the long term that really bothered me . 
 
 
Age 56, Biopsy 6/2007 - PSA 4.5, 2 of 12 with  <5% cancer Gleason 6
Surgery 9/2007 Strong Memorial,  Rochester  NY with Dr. Jean Joseph (1300 plus surgeries)
 Path - Negative margins, cancer in 20% examined tissue, Gleason 6
 Post Op - No ED issues, full erections without drugs,  used 5-7 pads a day for 3 months. Now dry except for stress leaks now and then.
 All post op psa's <.04

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4271
   Posted 8/16/2010 2:40 PM (GMT -6)   
Most of the sources cited in the post by NY-Sooner are 10 years old.
 
It is undoubtedly true that many radiation oncologists downplay the incidences of ED when making their sales pitch just as surgeons frequently downplay both ED and incontinence.  And, it's true that ED with surgery generally starts out bad and may get better while ED generally starts out non-existent with brachy and may get worse.  However, most recent studies of brachytherapy vs. surgery show that ED at 2+ years is likely to be worse with surgery.
 
One interesting study is the one done by New England Journal of Medicine on satisfaction with quality of life.  There was a decline in sexual satisfaction scores for both surgery and brachy patients but the % decline was much less in brachy patients than in surgery patients. 
 
Some on this forum may argue the efficacy of surgery vs. radiation but few who have looked at the facts will argue about the ED issue.
 
Tudpock (Jim)
Age 62, Gleason 3 + 4 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 4/10/10.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 8/16/2010 3:51 PM (GMT -6)   
Hey regal1945.

You are welcome to your opinion that sugery is butchery and the side effects are "horrible". However, I beg to differ. My surgery was nothing like "butchery" and the side effects in no way deter from my QOL. Plus I'm coming up on four years of zero PSAs.

Jim
Age 76. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06. Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + .05 cc Trimix = Excellent Results
PSAs from 1/3/07 - 8/02/2010 zero.
Next PSA - July/2011
Lung cancer dxed on 5/16/08. Surgery on 6/25/08 T1N1M0 - Stage IIA Finished 4 cycles of chemo on 11/7/08.
CT scans on 12/2/08 - 12/22/09 - in remission!!!
Next scan in August 2010.
Biker90's Journey
http://www.caringbridge.org/visit/jimrobinson
"Patience is essential, attitude is everything."

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 8/16/2010 8:59 PM (GMT -6)   
Regal,
Some of the surgery guys don't feel the same way you do about surgery which should not be surprising to you. I respect your decision on your therapy, and hopefully you can do the same about the guys who didn't go your rout. There is more than one way to treat prostate cancer and because it is a decision that we put our hearts into you can understand why the objection.

Personally it does not bother me as much because I am not afraid to fire back with knowledge that we still lack critical unbiased controlled trial corroboration on the efficacy and side effects of brachytherapy. That is finally getting underway but it will take a while to get accurate information on it, but I am happy to see that finally there is a serious controlled comparison between the two instead of rhetoric and brochures. For this particular poster the topic is about knowledge about seed therapy and not claims about surgery. Perhaps you can state your personal experience with brachytherapy instead?

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/16/2010 9:17 PM (GMT -6)   
As a general remark, it pays to remember that here at HW Prostate Cancer, we agree to respect each man's choice in treatment, regardless of whatever preferences or biases we have toward our own choice. And secondly, we agree that its ok to agree to disagree.

I am both a surgery guy, open, and a SRT guy both. The only guy I have ever met here at HW that had a "butchered" surgery, was that poor brother right here in SC, where they blotched a robotic surgery and left a good portion of his prostate in place, and then covered it over with a blothed radiation job.

Even with my complications with chronic strictures, I don't look at it as a butchered surgery. The surgery went well, the strictures are a bizzare way that my particular body deals with scarring.

Just need to show some respect to each person's choices and journey in my opinion.

David in SC
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 8/16/2010 9:21 PM (GMT -6)   
As a surgery patient who is very satisfied with my treatment, and feel that my treatment was succeessful to a degree greater than what other treatments could offer me as a Gleaosn 9, I feel that someone who calls surgery butchery, is taking potshots, and I find it highly offensive.

I do not disparage any other forms of treatment, an in fact had not has such an aggressive form of PC, I would probalably have chosen other treatments.

People who come on this site with one liners, don't display their signature, and don't attempt to discuss the merits of the different treatment choices are in my opinion detracters form the great atmosphere of HW. We are here to learn, not attack.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 8/16/2010 9:34 PM (GMT -6)   
Good enough.

But we really should be courteous about the question the poster has asked. I am not the right guy to ask about the seed experiences...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino

biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 8/16/2010 10:31 PM (GMT -6)   
Hey dmc,

There used to be a poster here named JustJulie whose husband was a brachy guy. You might search for her posts. She is very knowledgable about brachytherapy.
Age 76. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06. Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + .05 cc Trimix = Excellent Results
PSAs from 1/3/07 - 8/02/2010 zero.
Next PSA - July/2011
Lung cancer dxed on 5/16/08. Surgery on 6/25/08 T1N1M0 - Stage IIA Finished 4 cycles of chemo on 11/7/08.
CT scans on 12/2/08 - 12/22/09 - in remission!!!
Next scan in August 2010.
Biker90's Journey
http://www.caringbridge.org/visit/jimrobinson
"Patience is essential, attitude is everything."

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 8/17/2010 4:15 PM (GMT -6)   
I really think that John T and Tudpock are undoubtedly a couple of the most knowledgeable guys on Brachytherapy as well the foremost advocates of it from a very technical point of view.

These guys have posted volumes on Brachytherapy. If I was considering Brachy, I would certainly talk to them, as well as search some of there many posts on this subject.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

Post Edited (goodlife) : 8/17/2010 6:45:24 PM (GMT-6)


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 8/17/2010 7:00 PM (GMT -6)   
I know it's hard for some here to believe but there are alternatives to radical surgery and radiation. There's of course AS for those with low risk PCA. There's HIFU which likely soon will be approved by US insurance. There's cryo and there's clincial studies for which I am a poster boy for a success. Mine was Targeted Focal Therapy using cryo but now is also being done also with laser. Time does move on people.

Many here are still recommending the Walsh book published in 2007. While good it is becoming dated. The days of only radical surgery or radical radiation treatment choices are fading away. Although it may offend some here in another decade the former may well be looked on as butchery, and needless to some. There's no doubt for me that in time we will look back at this period as a period of much over treatment, caused by the advent of PSA.
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A
 
2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study
 
4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal
 
7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy
 
2/16/10 12 of 12 Negative Biopsy 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/17/2010 7:05 PM (GMT -6)   
careful there, realziggy, you used the "butchery" word. lol.

the walsh book, though dated, and anyone picking it up would have to know its obvious bias towards surgery, is still a good primer on most things basic about PC, before, during, and after. A good starting point for most people in my opinion.

of course there are all kinds of alternatives to surgery and RT, but those two treatments makes up the overwhelming choice in the end for most people.

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39

Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 8/17/2010 7:12 PM (GMT -6)   
Purgatory said...
careful there, realziggy, you used the "butchery" word. lol.

the walsh book, though dated, and anyone picking it up would have to know its obvious bias towards surgery, is still a good primer on most things basic about PC, before, during, and after. A good starting point for most people in my opinion.

of course there are all kinds of alternatives to surgery and RT, but those two treatments makes up the overwhelming choice in the end for most people.

david in sc


As I said in the other thread Dave I have a history here with banned posts. I still miss my Ziggy9 name.

We know there are alternatives to those two but some who come here in initially and look at posts much of the time would not see any, and just assume it's only the knife vs rads.

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 8/17/2010 7:56 PM (GMT -6)   
Ziggy,

One cannot disagree with your statement about choices. But after the surgery and RT, where do they stack up in the studies ? Perhaps in 10 years when CK, Cryoballs, some form of HT, or genetically engineered product, your statement will prove to be prophetic, but much of this PC war is a game of odds.

In a horse race, I may be tempted to bet on the long shots, but for my prostate, and for my life, I almost have to go with the highest odds solution. Today, in my opnion, for a high percentage of cases, surgery and RT are still the best we have.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

toughasnails
New Member


Date Joined Feb 2009
Total Posts : 8
   Posted 8/17/2010 8:59 PM (GMT -6)   
:-)  Had Brachy this past December and never looked back. Having had four heart attacks in the last two years, another long hospital visit didn't intrigue me. After reading everything (including Walsh's book) I could get my hands on, the choice was clear. Everything went swimmingly. Catheter out after six days and never to be seen again. Still on flowmax but probably will be for some time.
Oh yea, the wife is very satisfied too!
 
Age 60, gleason 3+4 = 7, T1c, psa 4.2, 5 of 15 cores cancerous, prostate 26cc, Brachy Dec. 29th 2009, 76 iodine 125 seeds.
3 month psa  1.87
6 month psa  1.06
8 month psa   .77
 
thank you Dr Peter Carroll....

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7078
   Posted 8/17/2010 9:21 PM (GMT -6)   
There is a new edition of the Walsh book out there somewhere - I found reference to an on-line e-book in a 3rd edition that was supposed to be available this last spring. I have not seen it in print.
I'm not much on falling asleep with a laptop computer on in the bed, so I'll see it when it makes a debut in print.

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4271
   Posted 8/18/2010 9:34 AM (GMT -6)   

Dear toughasnails:

Glad your brachy went well.  I couldn't help but notice that your stats and mine are remarkably similar.  I just have a couple of post procedure questions where we were different:

1.  My catheter was out before I woke up and yours was in for 6 days...do you know why yours was in for so long?

2.  I was off of the Flomax after 3 months, never to return.  Do you know why your doc still has you taking it?  Have you tried going off it?

Tudpock (Jim)

 


Age 62, Gleason 3 + 4 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 4/10/10.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

toughasnails
New Member


Date Joined Feb 2009
Total Posts : 8
   Posted 8/18/2010 10:08 AM (GMT -6)   

Tudpock18

Yes, my PC's are (were) very similar to your's. In fact, it was your posting that helped put me over the top in my decision to have brachytherapy. To answer the catheter question my uro has a standard of one week if you have pre-operative urinary function problems. I was on flomax for almost a year prior to my surgery and continue to this day. I took myself off two weeks ago for a period of four days and the frequency and urgency returned. Hopefully, in the next few weeks I can shift to every other day (.4mg).

Until then, keep up the good work (posting) and thanks for the inspiration.

Tough


F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3986
   Posted 8/18/2010 10:27 AM (GMT -6)   
my doctor gave me the option of going home with a catheter.  he said i had a 50% chance of having a problem.  i took his advice and the catheter was removed the next morning at his office.  i had brachytherapy a little more than three months ago and i am still on flomax 2x a day but i am also receiving IMRT. (eight treatments left).
 
F8
age: 55
PSA on 10/09: 6.8
no symptoms, no prostate enlargement
12/12 cores positive....gleason 3+4 = 7
ADT, brachy and IMRT

RayPat
Regular Member


Date Joined Apr 2010
Total Posts : 104
   Posted 8/18/2010 11:12 AM (GMT -6)   
I had BT on June 22. Urologist who assisted insisted on a catheter for two days.
Had a blockage and had to have a new one for five more days.
Taking Flomax twice per day and no problems in the day but some difficulty at night.
For people who have difficulty peeing after the catheter comes out both the urologist and the radiologist assistants advised me to take 8oo mg of Ibuprofen three times a day for a week to reduce the swelling. Also was told if I had a problem to try soaking in a hot bath before heading to ER. I had to do that twice and it worked.
Age 63

01/26/10 ...PSA 9....Referred to urologist
02/26/10 ...Met with urologist ...DRE normal but wanted to do biopsy
03/26/10 ...Biopsy done. 14 samples...3 positive on right side...all 11% Gleason 3+3
Urologist said stage T-1c.
Advised treatment. Said either surgery or radiation should work well.
4/26/10 Met with radiologist. Decided on Brachytherapy.
5/20/10 volume study done all looks good for Brachytherapy.
6/22/10 Brachytherapy done.
6/29/10 Not as quick a recovery as expected. Catheter in for a week. :>(
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