I was never fatigued after two recent surgeries. I had bypass surgery in 2005 with 5 bypasses, then a RP open Surgery in 2008. Was back to work in 6 weeks after each one and totally amazed everyone that I work with, because I had so much energy.
However, I just finished up 39 sessions on IMRT and the last week really made me tired. I was taking a nap every day around noon and falling asleep early every night. It's been three weeks since it ended and I'm finally being able to watch TV until 10:00 PM now.
I would definitely vote for the radiation as being more difficult to deal with.
Age 60, PSA 2007 4.1, PSA 2008 10.0
Diagnosed April 2008, Biopsy: 6 of 12 cores positive, Gleason 4 + 5 = 9
CT and Bone Scan negative, Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared, Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th, pT2c, lymph nodes negative
PSA Sept 28, 2008 0.00, PSA Jan 22, 2009 0.00, PSA June 29, 2009 0.00
PSA Sept 2009 0.00, PSA Dec 21, 2009 0.02, PSA March 29, 2010 0.03
ED Status- Currently using Trimix, Levitra daily for increased blood flow.
Noctural Erections have completely returned on a nightly basis, same hardness as before.
Stopped the injections except for "Fun" weekends. Really don't need them anymore.