Posted 4/8/2020 12:30 PM (GMT -6)
Other than our ages, I'm 65, our situations are very similar. I am/was a 3+4, a low amount of pattern 4, all on the left side, mostly in the mid gland. My mpMRI indicated that my disease was contained within the organ. I did a lot of research, had a second opinion consultation at Duke Cancer Center, and had my biopsy slides reviewed by Dr. Epstein. My only objective was to determine what treatment gave me the best chance of a cure with the least side effects. Eventually I decided on SBRT via Cyberknife. I had the SpaceOAR gel, the markers, and five treatments of SBRT for a total of 36.25 Gy. My particular RO gave me Flomax prophylactically, and continued it for one month following the last treatment. I did not have any issues with urine flow beforehand and never had any during or after the treatment. If your current flow issues are the result of BPH, I can understand looking at surgery, but I would certainly look at how modern-day radiation can minimize most and maybe all side effects. I am currently a little more than seven months out from my last treatment. I have absolutely no negative issues with urinary, bowel, or impotence functions. My last PSA, about six weeks before starting treatment was 4.77. Three months after my last treatment, my PSA was 1.48. Six month PSA was 1.14.
If you have any desire to read my journey in great detail, I have documented it all on one thread here on Healingwell. I think you can find it by searching for my screen name. Best of luck to you!