PSA test 45.8

User

Posted 28 Feb 2018 at 23:48

Thanks Lyn

I did ask about nerve sparing surgery and he said there would be none. I have made a note of the issues you have suggested and will put these to the oncologist next meeting.I am grateful for all your help.

User

Posted 01 Mar 2018 at 00:29

Others take a different view but in my mind, it seems that the decision making process should be:

1. which treatment or combination of treatments gives me the best chance of remission without needing salvage treatment

2. can I live with the potential side effects of that treatment

3. for the treatment that is most acceptable to me in terms of risk of side effects, how high is the risk of needing salvage treatment

You know that surgery is going to leave you with ED which some ED treatments won't be able to help with. But if surgery is the most likely to get you to remission, that might be something you can live with on the basis that there probably wouldn't be much sex going on with HT either. Plus ED treatments for non nerve sparing men are improving.

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

User

Posted 08 Apr 2018 at 14:15

Hi Looking for any advice or anyone who has had brachytherapy combined with radiotherapy?

My Update

The meeting with Oncologist went well and was really reassuring I was offered External beam radiotherapy this will be applied to the prostate and to surrounding pelvis area. They will also keep me on Bicalutamide for 3 months then carry on for 3 years after radio.

Also told it may be possible to have permanent seed brachytherapy at another hospital depending on meeting and flow test combined with radiotherapy as my prostate is quite small.

I was also told I may be eligible for the Stampede trial as they are now having a different approach for treatment for Gleason 9 even with my PSA of 45.8. cut off was 40 but now 50. not sure about that yet.

Blood test result PSA down to 4.9 from 45.8 after 27 Bicalutamide tablets PHEW.

Awaiting another meeting .

Any feedback appreciated

Thanks

Edited by member 10 Apr 2018 at 09:23 | Reason: Not specified

User

Posted 20 Apr 2018 at 13:29

18.04.2018
Had a meeting today with the Oncologist and was told flow test was not good enough to have brachytherapy also I was not emptying my bladder fully but not a problem he said.

Plan in place told to go on planned holiday to Greece at the end of May then on my return to have radiotherapy to the prostate and pelvic lymph nodes also to stay on Bicalutamide for 2 and a half to 3 years, Stampede trial still there if I decide to go on it.

Any advice appreciated thankyou .

User

Posted 21 Apr 2018 at 07:07

Hi,

I wouldn't want to offer advice but my situation was pretty much the same as yours PSA 54.7, cancer broken out of prostate into pelvic lymph nodes. The approach I took was different. Proatap injections, Chemo and then radiotherapy. Just finished treatment now waiting until October to see how it all went. Have a look at my profile..it sort of tells the story! All the best with your treatment, stay positive and enjoy the holiday.

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