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Rising PSA post RP

User
Posted 01 Nov 2017 at 11:42

Thanks, Ian - good luck on Thursday and on all successive appointments.

User
Posted 12 Dec 2017 at 15:06

I finish my 33 Salvage Radiation sessions on 14th December and thankfully all has gone reasonably well. No serious side effects. Worst thing for me was the full bladder one must have whilst being microwaved by the Halo machine at the local hospital. You’re told to keep still when the radiographers leave the room ready for a blasting, but keeping still when the extreme urgency is telling one that you must pee is certainly easier said than done. Fellow sufferers were, of course, in the same situation and we often shared a smile and a laugh at our predicament. As Kevan told me, you do get to meet some great people during this process and the overwhelming feeling is to wish all and sundry every good wish in their continuing fight against PC. The staff at the hospital were superb and treated everyone with great kindness and professionalism. Thank you. The oncologist has given me a 1st March date to see her next, but she also told me that it would be better if I have my first PSA test, post SRT, in April, when I’m booked in to see the urologist. So, health permitting, I’ll try to stop worrying and enjoy Xmas and the New Year to the full. The same sentiment goes out to everyone who is battling to beat this nasty illness. A Merry Xmas and a Happy and HEALTHIER NEW Year to you ALL.

User
Posted 12 Dec 2017 at 15:36
Great news that all has gone well from your point of view so I will raise a glass to you on the 14th

(but possibly not water).

I hope that you will have a relaxed and peaceful Christmas.

I have a blood test on 2nd Jan followed by the onco on the 8th so we'll see how 2018 kicks off.

Anyway, really chuffed for you as you have done well.

Kind regards

Kevan

User
Posted 12 Dec 2017 at 16:49
Thanks, Kevan and I do hope that your post Xmas appointments are positive and that the New Year starts off on a postive note for you. The Season’s Greetings to you and your family.
User
Posted 12 Dec 2017 at 17:12

Great news that all has gone to plan. You do meet some great people in the waiting room. I remember only too well lying on the treatment bed bursting to wee! The radiologist saying you can go to the toilet and reset. We can treat you slightly later. But no, I was on the treatment bed and I wasn't moving until the blast of radiation was finished, then a mad dash for the nearest loo.

I have my next PSA test 1/2/18 and Lupron injection the same day. I then see my oncologist 19/2/18 so like Kevan, and many others we will wait and see what 2018 brings. Meantime I will also raise a glass to all my fellow PC sufferers.

I hope things go well for you. Ian

Ido4

User
Posted 12 Dec 2017 at 19:37

Hi, Ian - it seems to me that the longer the SRT goes on the more urgency the peeing bit becomes. My worst experience to date was last Friday. The 4 teams at the Queens Hospital in Romford, Essex were running behind schedule, including the state of the art Halo machine I have been fortunate enough to have used. It was almost an hour behind my appointment time when, on being slid into the machine’s tunnel, I realised I would not be able to endure the 5 or 6 minutes the machine takes to complete a prostate bed blasting. The warning bleep had sounded when I suddenly informed the radiologists that I could no longer hold the waterworks. They aborted the session and I swiftly ran down the corridor to the loo. Fortunately, I did a half wee and on returning my bladder was still full enough for the session to start again. The radiologists had seen it all before and were extremely kind to me, but it had been a close run thing. Phew!

Ditto the good wishes for your important appointments in early February and I too will raise a glass of good cheer to you when you hopefully receive good news.

Merry Xmas and a healthy 2019 to you and yours.

User
Posted 12 Dec 2017 at 19:38

Sorry, that should have been 2018 of course ...

User
Posted 03 Mar 2018 at 22:11

Just back from an extended stay in Spain (10 weeks) with my wife and a thoroughly enjoyable time was had by us both. Returned back in the UK on 28th February and was surprised at the icy conditions - brrrr! after recently experiencing the much warmer climes of the Mediterranean. Saw my lady Oncologist the next day who quizzed me on how I had been since finishing my SRT sessions on December 14. I was pleased to tell her that all had been relatively well with no real problems and, yes, I had over indulged at times and especially so over the Festive period. However, my next big hurdle is when I see my Urologist on 16th April. Prior to this appointment I will, of course, have had a PSA test which will reveal if the SRT has worked or not. Pessimistic me is not feeling over optimistic at the outcome but we live in hope.

However, she did ask me if I might be prepared to take part in a 5-year trial named ADD-ASPIRIN CLINICAL TRIAL. Apparently, a clinical trial is soon to begin where the humble aspirin is administered to PC (+ breast & bowel) sufferers to see if the drug might actually prevent the spread of the nasty illness. Selected PC patients will be given daily one of the following three treatments ... 1 x 30mg aspirin tablet, 1 x 10mg aspirin tablet, 1 x placebo tablet. After reading the accompanying literature I am a little reluctant to go ahead because one of the drugs I must not use whilst on the trial would be Iboprofen, a 400mg daily tablet I take which has helped my with my previous painful muscular problems. The fact that I might randomly and unknowingly be selected for the placebo tablet as an alternative to my Iboprofen is not in the least appealing. I have been informed that I am under no pressure whatsoever to take part in the trial, but being a person who would like to help in any trial then I am a little unsure as to how to proceed.

Any suggestions from anyone out there would be greatly appreciated, but I do realise that it will my decision in the end.

Hope all is as well as can be expected with fellow users on this very worthwhile site ...


User
Posted 04 Mar 2018 at 01:05

The ADD-ASPIRIN trial is not new; it has been running for at least a couple of years and we have a few members here that are either on the trial or their onco has advised them to take aspirin anyway. However, if you are rather dependant on iboprofen then it may not be the trial for you.

Also, don’t expect too much of your April appointment - it will not tell you that the SRT has worked. The radiotherapy will continue to kill the cancer cells for up to 2 years and you should expect to reach your nadir about 18 months after the SRT finished.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 04 Mar 2018 at 07:25

Thanks, Lyn - once again I bow to your superior knowledge. The way the Add-Aspirin trial was explained to me I honestly felt it was a trail blazer. You have also educated me on the SRT. When I asked my Oncologist on 1st March what happens next should SRT have failed, she said they would, of course, continue to monitor my PSA and only if there was a dramatic rise would they then consider possible hormone therapy. As she said, so far it has been rising slowly and the longer they delay the therapy then the longer time it also gives me in combating the illness because, eventually, the cancer cells finds away around the hormone treatment.

User
Posted 04 Mar 2018 at 11:27

Yes - I could have worded it better but didn’t want to freak you out. From now on, each PSA test could tell you that the SRT didn’t work but will not be able to tell you that it definitely did work. In other words, the fail would be obvious but the only proof of success is not failing.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 04 Mar 2018 at 12:03
Hi

How often would you expect to have PSA tests post SRT, one urologist said three monthly another said six monthly. My first two psa tests have been dropping.

Thanks Chris

User
Posted 04 Mar 2018 at 12:14

It varies so much doesn’t it? John was on 3 monthly until about 4 years post SRT because it was never quite stable but the plan last year was to go to 6 monthly tests .... and then we got the 0.1 and 0.11 so Mr B decided to stay with the 3 monthly monitoring. Others here that have had stable undetectable post SRT seem to go to 6 monthly in three to 5 years post SRT

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 04 Mar 2018 at 13:52
Hi Chris, I am on three monthly PSA tests post SRT.

Best wishes, Ian.

Ido4

User
Posted 16 Apr 2018 at 10:11

Hi, All - just a quick update on my situation. GREAT news - I saw the Consultant this morning (yet another expert who I had not seen before), and who gave me the extremely encouraging news that my PSA blood test, taken on 3rd April, had revealed a negative reading because it was now below 0.1 and could not therefore be registered on their machine. If you’ve been following my Posts, you will know that I had 33 sessions of SRT late in 2017 when my PSA had risen to 0.3 post RP surgery in March 2015. Heartened by this I did not press him any further and his final words to me were that I now have an appointment booked with the Oncologist in early October when they will monitor the PSA again. Phew! Hopefully, I will now enjoy the summer which, judging by today’s appearance of the ☀️in my part of the country, might well be with us in the very near future.

I just hope that all users of this worthwhile site will also receive a positive outcome when they have their next meeting with their respective expert.

User
Posted 16 Apr 2018 at 10:44
Hi That is indeed great news for you. Couldn't be better could it? Time to forget about the PCa ( or at least put it on the back burner if you can )

Enjoy the good weather and forthcoming summer.😎.

Husband had his 2nd PSA test following his RARP last week so fingers crossed that's still good before we see the Consultant on 3rd May.

Best wishes

Ann

Edited by member 16 Apr 2018 at 10:47  | Reason: Not specified

User
Posted 16 Apr 2018 at 10:52

Thanks, Ann - I know it’s difficult, especially the waiting for results bit, but I do wish hubby all the best for his 3rd May appointment.

User
Posted 16 Apr 2018 at 14:35

Fantastic news - congratulations

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 16 Apr 2018 at 15:10
Great news. Enjoy the summer.

Ian

Ido4

User
Posted 16 Apr 2018 at 15:44
Great news!! Now you can relax and enjoy the summer. Really pleased that things are going well for you. I shall raise a glass tonight.🍷

All the best

Kevan

 
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