How big is your prostate in cc? Do you have any urinary issues, BPH, etc.? If it it right in the middle of the prostate, so in the transition and central zones (and not in the peripheral) than a BPH...
Fight on, brother...
There’s a joke about Sophie, Anthony, and a DRE in there somewhere....
Sofie’s dad killed Anthony after he yodeled, “The old lady too.”...
The yodeler was killed after he yelled “the old lady too”...
Where is he located?...
I was a pilot in the Navy, and barfed on my first instructional flight. I was golden by my 10th or so. All about the exposure. We had the Spatial Disorientation Trainer (aka the Spin and Puke) for...
Maybe you could get a scuba rig or other oxygen source and sit at the bottom of a deep pool for the hour or so. :)...
Do you have any symptoms of it? I know it can lead to peripheral neuropathy, which I have an appointment with my PCP to talk about in my future....
First, it really REALLY sucks that you are having such a bad experience with your biopsy. Were you on a course of antibiotics that started before the biopsy and ran through it? If so, what...
Most of the people on AS did eventually seek treatment, so it's more between immediate treatment versus deferred....
Also, this from the study Of the 40 men in whom metastases had been diagnosed at 10 years, 14% had died of prostate cancer in the active-monitoring group by 15 years as compared with 25% in the...
No, this cohort was randomized going in as to their treatment, AS, surgery, or RT. Not really. From the paper... [b] The higher incidence of metastatic disease in the active-monitoring group at 10...
Start with a MP-MRI first, before a biopsy....
This one caught my eye, as I had been thinking about it from an earlier article, Given the essential role of oxygen in the response of IR-induced ROS, hypoxia becomes a major problem with RT.177,178...
On the radiation side, the technology is leaking and bounding forward at such a pace, that I could see someone being “jealous” of newer patients who are availing themselves of much better tech than...
I wonder if my health insurance will cover psychotherapeutic interventions? Maybe a week in a cabin on a lake? :)...
From the paper... Whilst lower than other treatment modalities, the findings of one in eight men undergoing AS regretting their decision may be related to the findings suggesting that patients who...
Awesome news, thanks for sharing your journey!...
Oh, I understand that they aren’t all setting up shop Willy-nilly and have a hard time getting a toehold. But the fact remains that they are there , being shed by the main tumor, likely getting...
Kind of makes you think, that it uses circulating tumor cells to identify if you have cancer, i.e, you've got cancer bobbing around in your blood vessels looking for their next home....
I didn't get my second opinion from JHU because I didn't trust who did my first opinion, I got a second opinion because I wanted a second opinion. I'd have appreciated a 3rd, in fact. All the...
Great news! Sometimes the first mouse does get the cheese. :)...
Jcrhdd, you should see the doc, but tell him you only want palliative care (although hear him out on the options). Palliative care is about making your final journey as comfortable as possible, and...
Nice find!...
This Twitter post is about incontinence (using pads) two years after treatment, following surgery or SBRT. It’s 46% compared to 4%....
TURP has been around a long time while HoLEP is the relatively new kid on the block, so you may have that switched. https://pubmed.ncbi.nlm.nih.gov/34453422/ HoLEP is also harder to get trained in,...
One thing you will miss out on is a pathology review of the removed tissue, which a TURP or HoLEP will give you but aquablation won’t. Small tradeoff. This site has good info, even if the interface...
The HoLEP isn’t really a simple prostatectomy, because it leaves a third or so of the prostate behind. The outer peripheral zone (PZ), as you noted. I’d be wary about having it solely to treat the...
Except for the fact that I don’t like giving blood and it costs money, I would love to have a record of daily PSA measurements for a long period, say 6 months. From that, one could tease out the...
I thought you were going to link to this… https://youtu.be/uLYZbvts9AA Best of luck with your recovery, Glandless!...
That's a magnificently sized prostate! Large prostates are counter-indicated for radiation typically, especially if you have urinary issues going in. Lots of tissue to radiate. Steers you to...
HTownman, some questions... What was the last volume calc of the prostate from the most recent MRI? Still growing? Where is the PiRad 4 lesion located? Peripheral, transition, or central zone? How...
It sure looks like eventually you will need to undergo treatment, with that steady climb in PSA and PIRADS. I’m glad it’s been all G6 so far....
It really seems to be a decision between: *Surgery And *Internal (HDR brachytherapy, LDR brachytherapy) *Photons (IMRT, SBRT, MRI-guided RT) *Protons (various dosing schedules) *Pluvicta (internal...
Bummer that you have divert your attention from other life things onto this. Hope you flat line or go down in three months. Deleted non-working URL ...
I am definitely better prepared for the inevitable skin cancer I have coming from not wearing enough sunscreen at the beach....
The OP's condition looks suitable for HDR Brachy, since it appears gland-only. Also, HDR can target extracapsular extension and seminal vessel invasion. It gets combined with external beam radiation...
This site has some good info on comparing treatments. To my mind, HDR puts the radiation exactly where the cancer is. External radiation has to penetrate healthy tissue to get to the sick, and then...
This article, publishing the results of a study, confirms what would seem to be obvious, that accurately tracking your prostate's location in real time while giving you radiation is advantageous. If...
No matter how disgusting the activity you can imagine, there is a human being on this planet that enjoys doing it. That’s a plain fact. ....
LOL’d at that. I’m not the only one… Glad things are tracking for you!...
I feel lucky that my PCa Uro, who has done well over a 1000+ surgeries, recommended AS. He’s a progressive thinker. As a fellow Pennsylvanian with Senator Casey, I wonder who his doc is....
Sounds like you have a good doc and a good plan! I'd say your PCa is sitting right on the edge between favorable and unfavorable intermediate, and his consideration of zapping the lymph nodes...
They were able to look at the pathology of your TURP at the time, correct? Came back negative? My HoLEP came back negative even though I know I am positive. [quote="JAW31"I am not familiar with...
I've been tracking the literature too. The real issue is large prostate volume, which I had in spades, which of course often correlates with LUTS. Example paper......
The LUTS can be aggravated by the RT, so a definite factor to weigh in. That was my situation, so I had a procedure to address the LUTS now (a HoLEP procedure) and am now on AS. I have my first 6...
I'd give this page a look. https://www.prostatecancerfree.org/compare-prostate-cancer-treatments-intermediate-risk/...
Ugh...just wanted to say you're heard. Sorry to hear about the elbow, hopefully continual strengthening around it will give you stability....
Amen I'm a PhD researcher in decision making under uncertainty with 30 years of experience, but there's talking about it, and there's living it. These folks have lived it. :)...