I'm PT3b but doing ok on the PCa front so far. Now I'm dealing with diverticulitis (pain in lower left abdomen due to inflammation/infection of lower intestine) which may be a result of IMRT. Taking antibiotics and hope that kills it.
Re: PCa, Next PSA test end of May. Fingers crossed as usual. Hoping for another "undetectable"!
DOB January 1944 (now age 71)
1981: prostatitis corrected with meds.
2000-2013 BPH treated with finasteride & tamsulosin; also hypogonadism treated with androgel.
PSA history: Nominal / Est. Adjustment for finasteride effect
11/2011 2.2 / 4.4
8/2012 2.7 / 5.4
2/2013 5.5/ 11.0
4/2013 6.1/ 12.2
5/2013 6.6/ 13.2 (testosterone level ~700)
11/2013 0.1/ na
1/2014 0.2/ na
4/2014 0.3/ na (testosterone level~ 350)
9/2014 undetectable na (testosterone level= 3)
12/2014 undetectable na (testosterone level <3)
3/2015 undetectable na (testosterone 328)
6/2013 Trans rectal Bx. Dx: PCa Gleason 4+4=8 (Bostwick), 2nd opinion 4+5= 9(Johns Hopkins), 2/6 cores on right positive, 10% & 40%, DRE neg. (Stage PT1c)
7/2013 Bone scan and 1.5T pelvic MRI, negative for PCa
open RRP, Johns Hopkins
9/9/13 Pathology: 33G, Gleason 9, both nerves spared, SVI+, EPE+ and 4mm + margin at base (Gl7), 10 lymph nodes dissected, all negative for PCa (Stage upgraded to PT3bN0M0)
5/14/14 First Three month Lupron shot (22.5 mg.)
5/20/14 3T pelvic MRI to locate spot of BCR; negative for PCa
6/4-7/31/14 SRT: 38 sessions of IMRT/IGRT, total 68.2 Gy to prostate bed and area of + margin.
7/11/14 Started taking Megestrol Acetate for hot flashes and Flomax for urinary frequency as needed.
9/5/14 Second 3 month Lupron shot
12/5/14 Lupron discontinued; Started daily Cialis with no effect.
Side Effects of treatments:
RRP: Incontinence: one pad per day for 13 weeks post op, none thereafter.
ED: some pre op due to meds., total ED post op. Tried Viagra, daily Cialis and VED to no avail.
ADT: Weight gain, hot flashes, fatigue, joint and bone pain, constipation, diarrhea, urinary frequency, loss of libido, shrinkage of penis and scrotum. SEs except fatigue stopped six months after last shot.
SRT: None until about
a week before the end, then diarrhea, anal pain, blood from internal hemorrhoids, fatigue. Mild proctitis, itchy rectum continues.
Post Edited (Break60) : 4/25/2015 9:41:31 AM (GMT-6)