My thanks to each and every one who responded here. This is precisely the kind of detailed information that I was hoping for, so I'm very grateful to everyone who took the time to reply.
When it comes to pain and discomfort, I'm an admitted coward, so I guess what I'm looking for here is the information necessary to prepare myself mentally for what lies ahead. I don't have too much apprehension about
the IMRT sessions that will follow the LDR-BBT, because they're reportedly painless for the most part, and frankly, I'm not 'overly' concerned about
the LDR-BBT either. But I like what I'm reading here.
Prior to my one and only biopsy, I was alert
ed to the potential for a variety of problems associated with that procedure too, and in actual practice, none of those fears proved to be valid. I sailed through it all with very little swelling or bleeding, minimal post-OP pain, and no infections or significant urination issues. So I suspect (hope?) my experience with BBT will be similar in that respect. I feel very fortunate in that the folks that will be conducting the procedure are top-flight in their respective fields.
Anyway, the one common recommendation in this discussion that appears to be almost uniform across all who responded here, is the suggestion to extend my stay for at least a single day and night after the procedure, and I think that's spot-on. The RO may very well be correct in saying that it won't be necessary, but given the distances and travel involved, I think it would be most prudent in my case.
As for the catheter, it sounds like the odds of not having one in-place prior to anesthesia or after the procedure might be in my favor, and that's awesome. I recognize that every doctor and every facility might have different policies or procedures in this regard, but it sounds like the preponderance of guys who have undergone LDR-BBT did not struggle with catheters too much, so that's 'great' news! However, should circumstances arise post-OP wherein I need to travel with a catheter in-place, it sounds like travel by air or car present their own unique problems. On its face, air travel would seem to be the best of the two options given its relatively abbreviated duration and the tenderness likely to be associated with sitting for prolonged periods. On the flip-side however, travel by car or truck, especially if laying prone, might lead to less mishaps in terms of bathroom visits. So that's a tough one.
With respect to pre-OP evaluations and qualifications for LDR-BBT, I don't know if an IPSS test is scheduled for me or not (it doesn't appear so at this point), but my prostate volume was determined to be <50cc by 3T-MRI back in early June, and there's reason to believe that it will be notably less by late September, from 6-8 weeks of exposure to Casodex, plus 9-10 weeks of Lupron. Fortunately, I don't currently have any serious urinary retention or 'stream' issues, but nonetheless, I plan on beginning daily Flomax treatment within 5-6 weeks of the procedure (i.e., by mid August), just to be safe.
Thanks again to everyone for the great responses and for the warm well-wishes. I appreciate all-a-ya, big-time!
Age at Dx: 65 (now 66)
Diagnosis (1/2018): High-Risk PCa
PSA (4/2017): 15
Biopsy (1/2018): 7/12 cores '+' (5-65%)
GS-9 (Initial): 4+5=9, GS-8 (2nd Opinion): 4+4=8
PSA (3/2018) post-biopsy: 43
CT, Bone & PET Scans: No mets
3T-MRI: Nodule r-base (no lymph, but r-seminal vesicle involvement)
PSA (6/12/18): 69
PSA (6/24/18): 34
PSA (7/15/18): 12
Lupron (90-day): 7/17/18
Post Edited (Balladeer) : 7/19/2018 12:52:45 PM (GMT-6)