David: I haven't read all of the posts completely on this topic so excuse me if this has already been said but one of the main reasons the Provenge has made headlines is that the side effects are minimal. Chemo as we have all heard is terrible for QOL, it can extend your life for up to 18-24 months but I hear that you're pretty miserable during this time. Provenge on the other hand has few side effects so not only is your life being extended on average of 4 months but the 22-26 months that you are alive are much better QOL.
Provenge is usually given in three injections spaced around 2-3 weeks apart I believe.
I've talked to 2 guys who have had the treatment(clinical trial), they both are chugging along 1 year later.
The Other David
Biopsy- 12 cores, 4 positive highest 4+4=8
Bone scan, CT scan and Chest X-ray clear 4/16/08
Urologist suggested surgery 4/16/08
MRI on 4/24/08 clear no suggestion of lymph node involvement.
4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July. This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02
12/05/08-PSA <0.02 Six months after surgery
3/02/09-PSA <0.02 Nine months after surgery
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
12/31/09- SRT completed, still on HT and will be for 2 years, PSA is <0.01
7/30/10- PSA still <0.01, on HT 1 year with 1 to go.