JustJulie: Question re: pre-brachytherapy imaging

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Michael's Wife
Regular Member


Date Joined Aug 2007
Total Posts : 150
   Posted 11/7/2007 5:00 PM (GMT -7)   
My husband is scheduled for the prostate imaging next week and although he's telling me I don't need to go with him, I inclined to anyway. Do you recall how long this took and is there anything we should know beforehand? All in all, this part is sounding like it's a whole lot better than the biopsy was.

Thanks for any info.

Husband Age: 58
Stage: T1c
Gleason: 6 (3+3)
PSA: 4.4
Biopsy: 12 samples, Adenocarcinoma involving 3 cores, right side only (95%, 90%, 30%, discontinuously)
Pre-op prostate study - Scheduled for November 13
Brachytherapy - Second week in December 2007
Hoping for a cancer-free Christmas


JustJulie
Regular Member


Date Joined Mar 2006
Total Posts : 355
   Posted 11/8/2007 10:37 AM (GMT -7)   

Ellen:

I went with my husband to all of the appointments.  The imaging is very precise so it takes a little while.  They will set him up in a certain position on the table and stabilize him so he stays still - he's not strapped down or anything they just want to ensure he's in a stable position for imaging so they can set him up in the exact same position for surgery.  There is, however, no room for modesty here, FYI.  My husband told me after that every possible good looking nurse came in and adjusted him here and there and everywhere and that flimsy little gown was not much use ...

I believe you will be requested to use an enema before the procedure - you need to be cleaned out prior to most of Brachytherapy procedures - that's sometimes the worst part.  At our hospital they set you up in a room with a bathroom so you don't have to run anywhere (no pun intended)!

I was not allowed in the particular procedure room for the imaging but I was allowed to stay right outside.  If you're husband is anything like mine, he's been through several physical exams and, fortunately, or unfortunately, it's becoming second nature so the actual imaging is not that bad.  I do recall, however, that he was tired after but hospitals in general make his tired.

Let me know if you need to know anything else or just need a shoulder - I'm happy to help you where I can.

 

 


Michael's Wife
Regular Member


Date Joined Aug 2007
Total Posts : 150
   Posted 11/8/2007 11:50 AM (GMT -7)   
Thanks, Julie.  I'll probably go with him for moral support if nothing else.  He won't have the actual brachytherapy until next month, and I'll definitely be there for that as well.
 
I think my husband is getting used to all of the embarrassing procedures, positions, etc. so this will probably be old hat. :-)
 
In the meantime, we've been trying to get more info on an HIFU trial in our area but can't seem to get a return phone call. Very frustrating!  We want to feel that we have fully investigated all options, and that's something we really didn't look into when we first heard the diagnosis.
 
Ellen

Husband Age: 58
Stage: T1c
Gleason: 6 (3+3)
PSA: 4.4
Biopsy: 12 samples, Adenocarcinoma involving 3 cores, right side only (95%, 90%, 30%, discontinuously)
Pre-op prostate study - Scheduled for November 13
Brachytherapy - Second week in December 2007
Hoping for a cancer-free Christmas


JustJulie
Regular Member


Date Joined Mar 2006
Total Posts : 355
   Posted 11/8/2007 1:37 PM (GMT -7)   

I understand that procedure is available in Canada as well and may be suitable for post-Brachytherapy treatment if required (here's hoping we never need it).  If you want to take a trip up north, look me up!

 


Michael's Wife
Regular Member


Date Joined Aug 2007
Total Posts : 150
   Posted 11/8/2007 3:18 PM (GMT -7)   
I'll keep you posted. He finally got in touch with the folks regarding the trial, and they told him that it was for me over 60 but the website (clinicaltrials.gov) clearly says it's for me over 50. confused I think if it were a typo they would have fixed it by now.

wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 11/10/2007 12:05 AM (GMT -7)   
Just Julie,

I have been reading the posts about prostate imaging and I just wondered if this the same thing as the ultrasound volume study.
My husband had a prostate seed implant back in April and a month
before he had to have a prostate volume study done which takes lots of pictures of the prostate and afterward these pictures are fed into somekind of a machine which determines how many seeds will be used and where each one will be placed. I rememeber he had to give himself an emena before this procedure, too.

Thank you,
Wiggyann

Husband 68, psa 7.3 but was 6.6 at biopsy
twelve cores taken at biopsy, eight positive for adenocarcinoma
seven cores were 3+3=6, but one was 3+4+7, so the urologist had
to make his Gleason score a 7. Stage t1c (found due to elevated
psa) both sides of prostate involved. Treatment was 25 IMRT
(radiation treatments) and a 90 seed (pallidium) implant. psa one
month after seeding was 2.67, three months after was 1.7, seven month psa coming up on November 29th.

JustJulie
Regular Member


Date Joined Mar 2006
Total Posts : 355
   Posted 11/12/2007 1:13 PM (GMT -7)   
Wiggyann:
 
I believe they are essentially the same thing maybe called different things. As you know the prostate must be precisely measured and the imaging equipment they use takes "a million" (ok maybe not THAT many) images in a relatively short period of time to precisely determine the size and location of the prostate in order to effective treat it.
 
My husband's procedure included 91 seeds, the man beside him 102 so they are quite precise about who gets what.  My husband opted for stranded seeding, the man beside him did not so even though both are Brachytherapy procedures, there are still different options available.
 
Hope all is well.
 
JustJulie

Michael's Wife
Regular Member


Date Joined Aug 2007
Total Posts : 150
   Posted 11/12/2007 4:24 PM (GMT -7)   
Poor hubby is fasting tonight and tomorrow morning for the imaging to be done tomorrow. I felt guilty eating my dinner, but if he's up to it afterward I'll take him out for a nice lunch tomorrow. One more step in the process ...

We learned this week that another friend of ours was diagnosed with PCa and will be having brachytherapy about the same time as my husband. It's just amazing the number of men in our age range that are being affected. confused

JustJulie
Regular Member


Date Joined Mar 2006
Total Posts : 355
   Posted 11/13/2007 7:22 AM (GMT -7)   
I really believe that it is because of active doctors (like mine!) who believe in preventative medicine that more and more men under 50 are being diagnosed.  Typically men are not even tested until the age of 50 which could mean 10 years of undiagnosed cancer and we all know early detection is the key.
 
Knowing what I know now, I insist that all my male friends get a PSA test.

Michael's Wife
Regular Member


Date Joined Aug 2007
Total Posts : 150
   Posted 11/13/2007 11:07 AM (GMT -7)   
Hubby and I just got back from the hospital. Sounds like the imaging was a bit worse than expected (he said he thought beforehand that the catheter would be the worst part but he was wrong), but at least that part is over. He'll be asleep for the next procedure at least. :) He's not happy that he'll have to have a catheter overnight after the seed placement, but at least that's all it is.

He also talked with the RO about stranded seeding and it turns out that they will not be doing stranded. He said he only chooses it for more advanced cases of PCa where there's a chance that the cancer has spread and where he has to put seeds outside the capsule. He also explained about effects of stranding on expansion after seeding but I didn't catch all of that second hand.

He's got 4 prescriptions to be filled and his instructions for pre- and post-seeding. Now we just wait.

JustJulie
Regular Member


Date Joined Mar 2006
Total Posts : 355
   Posted 11/13/2007 2:24 PM (GMT -7)   

Ellen:

I feel for both of you - you really want to be supportive but the guys tend to clam up as it's uncomfortable to talk about - it's just too private (for lack of another word and no pun intended - really).

It's not the most pleasant procedure but know that it is all for the greater good - a cure.  Bless both of you - you are in my thoughts as you wait for your seeding. 

justjulie

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