As some of you know I chose SBRT (best known as CyberKnife) as my primary treatment option a few months back. After a great summer, with a few notable trips and vacation, it's time to get to business and deal with this beast. I have not run into many on this site who have utilized SBRT as a primary treatment, so I will keep this thread going throughout and let you know my experience. I won't be trying to "sell" this to anyone as a treatment, I just want to leave a journal of my experience with it for the next guy who may come along and have a question about
8/9/13: Today I had my three gold markers (fiducials) placed at my urologist's office. The prep and the procedure are almost exactly like the biopsy except they are going to place something and not take something away. The markers will be used to "locate" my prostate during my subsequent radiation treatments. I'll have more to say on that as the time to begin gets closer.
The prep for the placement of the fiducials was two antibiotics the night before (one each of Ciprofloxacin and Cefuroxime), two more at 2 hours before the procedure, and then two more every 12 hours until gone, a total of 8 pills each. A fleet enema is required two hours before the procedure as well. No dietary restrictions.
The markers are placed just like the biopsy is done, right in the uro's office. Same entry point, same "sting of the needles" This time though, there are only three "stings" instead of 12 like the biopsy. I had no local anesthetic, and I wouldn't want to have it done voluntarily, but it isn't horrible. It's uncomfortable, stings a bit, but is over much quicker than a biopsy. I type this three hours after it happened, and I have no pain at all, and just a little of that "something happened back there" feeling. Not fun, but not all that bad and it's over quickly.
Monday I will be having a CAT scan to begin to prepare for the "simulation day". I'll talk more about that later. I'm glad to get this ball rolling. The only invasive part of the procedure is now behind me.