radiation or surgery? here's what i'm doing...

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Veteran Member

Date Joined Feb 2010
Total Posts : 3982
   Posted 8/16/2010 9:19 PM (GMT -6)   
hello everyone.  i haven't logged in for awhile but recently i've been lurking.  i'm seeing the question about surgery vs. radiation alot lately and i just wanted to update you and give you my opinion cool
my doctor, a surgeon, said i was not a good candidate for surgery because i have a 60% chance that my PC is out of the capsule, even tho CT and BS show nothing.  my prostate is small and i have no growths or obstructions.
my doctor recommended HT + BT + IMRT and that's what i went with.  if you are unsure how to proceed and haven't read this article maybe you should. 
i have been on lupron for five months so far and have another four months to go (three shots total).  i also had brachytherapy three months ago (40 cesium pellets) and today i've had my 19th IMRT treatment and i have nine to go.  i get my last shot of lupron about a week after my last dose of IMRT.
my brachy doctor is a young dude and he did four procedures that day and more than 3k lifetime.  my urologist assisted him.  i went home with a catheter which my urologist took out the next morning, which did not hurt. 
there of course have been side effects but nothing excruciating or intolerable.  the most painful treatment so far was the first DRE from my urologist.  he was brutal  wink .
hey gotta run.  i'll check back later.
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

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 8/16/2010 9:26 PM (GMT -6)   

Much of this PC battle is making that big decision. Finding doctors and opinions that you trust, investigating the recommendations, and making the big decision is humongous task.

I congratulate you on making it through the obstacle course and movong forward.

Good luck on your journey. Please keep us informed of your progress.
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

Regular Member

Date Joined May 2010
Total Posts : 264
   Posted 8/16/2010 9:51 PM (GMT -6)   

I am glad your treatment went well.

Your DRE comment reminded me of one of my trips to the Urologist. I was getting the DRE (which I also find very uncomfortable) and said "Geesh Doctor, how many fingers are you using" and he goes "All of them"!

Here are some of my stats:
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery on 6/1/10
Pathology report shows cancer confined to prostate and all other tissue clean
PSA tested on 7/15/10: Zero Club membership card issued (trial membership with 90 day renewal)

Regular Member

Date Joined Aug 2010
Total Posts : 22
   Posted 8/16/2010 10:27 PM (GMT -6)   
Thanks for the info.
PSA- 9.9
G7 (3+4)
6 of 10 positive (two were 2% at 3+3 so nothing to worry about)
The part to worry about-
left base (conventional type seen in 2/2 cores, involving 50% of submitted tissue, G7 (3+4-pattern 4 accounting for 40% of tumor)
left mid (conventional type seen in 2/2 cores, involving 50% of submitted tissue, G7 (3+4-pattern 4 accounting for 40% of tumor)
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