My prostate - 74ml. I have all the common BPH symptoms - weaker urine stream, frequent or urgent need to urinate, increased frequency of urination at night, inability to completely empty the bladder, along with 75-80% reduced semen.
If I'm cured I may have another 20 years to go in this world and I'd like to think my Genitourinary (GU) issues are not going to be a continuing issue.
I'd like to hear short and long term experiences from others who have had brachy or other RT in the past 10 years, who also had BPH symptoms and enlarged prostates. It would be helpful to know what size was your prostate was before and after, and notwithstanding the cancer cure, how did the RT affect your BPH symptoms.
LDR brachy is not recommended for "large"prostates 60ml and over. This has been ruled out. I have not been able to talk to a HDR Brachy RT yet but understand that a "large" prostate does not rule out this treatment.
RT in general can cause urinary symptoms both short term and long. However, SBRT RO Dr King UCLA told me that, following RT, over time, the prostate size shrinks which often leads to reduced BPH symptoms.
Following IMRT or HDR Brachy, reported Genitourinary complication rates are small - in the 1-4% range, however, do not distinguish between those patients that had larger prostates or BPH symptoms.
I've been trying hard to narrow down the treatment decision for my PCa. Since my overall cardio health is excellent there is no increased risk with surgery. The potential RT side effects on the prostate (swelling and irritation and BPH symptoms) have me thinking that a RALP is a better choice because of my large prostate and current BPH symptoms. Also, if treated with RT, the chance that these symptoms will continue as is or get worse and possibly require medical treatment is unattractive.
I am well aware of the ED stats for both RT and RALP and it appears life will be different either way I go. Another "side effect" of the RALP is a shorter penis. The literature I've read so far is vague on this subject and I haven't yet addressed this with my URO. If the size (length) of my large prostate correlates to this, I would like to know up front what I can expect. And what about
this potential side effect following RT?
Age 63 (10/2019)
BPH Dx A56
10/12: 2.9, 10/14:4.7, 1/16:5.5, 9/16: 3.9, 10/17:4.8, 4/18: 2.4 (on proscar),9/18:2.9, 8/19:6.8 (off proscar)
5/2015: BIOPSY G6, 1 CORE 5% 60ml gland; AS
11/2019: BIOPSY G7 3+4, 1 core 25%, 74ml gland
Other Cancer: 4/2019: 6.5cm mass: Clear cell renal cell carcinoma, WHO/ISUP grade 2, pT1b, limited to kidney, Nephrectomy; 10/19 CT negative. CKD Stage 3
Post Edited (Kauaiboy) : 11/24/2019 10:26:36 AM (GMT-7)