Disappointed CJD

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Regular Member

Date Joined Apr 2011
Total Posts : 42
   Posted 6/22/2011 3:50 AM (GMT -6)   
Went off so positive yesterday morning to my ur. for next stage of my process for propsoed Brachytherapy - so down when he identified my prostate as being too enlarged to carry out the process at present.l  he put me on other HT mecicatin & injeuction for three months with hope of decreasing prostate so that he can still do the BT.  I just peeee...d. off at this stage (pardon the pun) but i sure peeee.d on way home on my two hour journey.  These new motorways in our country do not suit those who are short taken!  Anyway, guys, i need your continued support to help me get through this Ht - in theory i understand it but in practical terms I am not so sure..... My wife keeps me positive with her sense of humour and not forgetting her love and support.

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 6/22/2011 4:09 AM (GMT -6)   
Sounds like your doc is on top of things.. Hang in there.

Forum Moderator

Date Joined Sep 2008
Total Posts : 4276
   Posted 6/22/2011 8:42 AM (GMT -6)   
Dear CJD:
Sorry for the temporary setback...it's tough when you have a plan but hit a bump.  However, this is pretty standard protocol for proposed brachy patients with larger than 50cc prostates.  This should be successful in reducing the size of your prostate and getting you back on track for your brachy.  I think JohnT had something similar prior to his brachy and perhaps he will weigh in on this thread.  Pls. keep us up to date and best of luck.
Tudpock (Jim)
Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 12/8/10. PSA: 6 mo 1.4, 1 yr. 1.0, 2 yr. .8. My docs are "delighted"! My journey:

Veteran Member

Date Joined Jun 2011
Total Posts : 1122
   Posted 6/22/2011 11:09 AM (GMT -6)   
Disappointment can suck at times, especially when you have to travel to find it. But it keeps you in check to really appreciate when good things happen for you. Like for instance, when your wife is there for you with her humour and love. And we are here for you also. BTW, my prostate is large also, so you are not alone.
1985-age 25 diagnosed with enlarged prostate
March 2000 psa=.08
April 2002 psa = 1.4
April 2011 psa = 47.6 age 51
May 17, 2011-Prostate Biopsy
Prostate volume 97--(whoa, that is big!)
3 of 12 cores Positive
Right Medial Base: G7 (3+4) 6 mm of 15 mm
Right Medial Mid G6 (3+3) <1.0 mm of 15 mm
Right Lateral Mid G7 (3+4) 1.0 mm of 4+7 mm (2 pieces)
Bone=neg;ct=50/50 chance within capsule

Veteran Member

Date Joined Dec 2010
Total Posts : 3888
   Posted 6/22/2011 1:14 PM (GMT -6)   
Have you discussed High Dose Rate brachytherapy with your doctor? It has far less restrictions for large prostates and pubic arch problems than permanent seed brachytherapy. For information see www.cetmc.com, Dr Jeffrey Demanes at UCLA, the pioneer of HDR brachytherapy.

With Avodart, Proscar, or Jalyn (Avodart and Flomax) a significant reduction in prostate size can occur very quickly and it helps diminish the cancer chemically. The concern over waiting is that the cancer is growing, but a neo-adjuvant hormone treatment mitigates that concern. Though I did not have an enlarged gland my doctor started me on ADT (Eligard and Jalyn) for one month before the radiation therapy began.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard shot and daily Jalyn started on 10-7-2010.
IMRT to prostate and lymph nodes 25 fractions started on 11-8-2010
HDR Brachytherapy December 6 and 13-2010.
PSA <.1 and T 23 on 2-3-2011.
PSA <.1 on 4-7-2011
Second Eligard shot on 4-7-2011

Veteran Member

Date Joined Jan 2010
Total Posts : 2845
   Posted 6/22/2011 4:09 PM (GMT -6)   
CJD - hang in there - sometimes the path taken is not the original one - but possibly a better one in the long run - wishing you all the best,
Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 2 of 12 cancerous, 5% involvement -Gleason 7 (3+4)
Radical Prostatectomy:11/18/09
Pathology:pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA:04/08/10 -0.05 -Zero Club
PSA:09/23/10 -0.05 -Zero Club
PSA:03/24/11 -0.02 -Zero Club
PSA:03/24/12- TBA

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 6/22/2011 4:18 PM (GMT -6)   
CJD, your doctor is doing the right thing. As much as it is disappointing to have to wait, it is better in the long run to get it right. Good luck.
Age: 67 at Dx on 12/30/08 PSA 3.8
2 cores out of 12 were positive Gleason (4+4)
Davinci surgery 2/9/09 Gleason 4+4 EPE,
Margins clear, nerve bundles removed
Prostate weighed 57 grams 10-20% involved
all PSA tests since (2, 5, 8, 11, 15, 18, 21, 2 years <.008? ) undetectable
27 months: .005

Regular Member

Date Joined Apr 2011
Total Posts : 42
   Posted 6/23/2011 10:58 AM (GMT -6)   
oh guys, thanks for your own pma it has helped me to fit into another new part of my journey of PC.  its nice to know that there is someone on the other end of the line to listen to me when i need it most.  my emotional attitide is more challenging for me than my physical complaint and i hope i am not alone in feeling this way some of the time. 
Thanks againa to all.
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