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Hubby recently diagnosed

User
Posted 26 Nov 2018 at 23:49
It sounds like they are considering a TURP, an operation to take a core out of the middle of the prostate to take pressure off the urethra. Does that ring any bells?

They were probably also hoping that the hormone treatment will reduce the prostate size without them needing to do the TURP - perhaps this was a bit too soon.

As for the 3 hour thing- if they could see that his bladder was full but he wasn't passing any urine, it would have been irresponsible to leave him any longer as it could cause kidney damage. When does he have to go back for another try?

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

User
Posted 17 Jan 2019 at 22:17

So hubby was meant to go for his mapping 4th Jan. He got a call the day before from the hospital asking if he was attending and all was OK. He said yes. They then asked how he was coping without the catheter and he said it's still in!!! So the appointment was cancelled. So today back to the oncology consultant to be told they now want to change the treatment plan. Chemotherapy, 6 sessions every 3 weeks. A break, then radiotherapy. New trial research results show using chemo aswell helps keep the psa score down longer. This is all very new she said with the consultant meeting only taking place a couple of weeks ago. Teams around the country may not know yet as its still rolling out. They wanted to start next week but he said no. He has urology next week and he wants to try again and take the catheter out first. He says he now has urges to go unlike last time they tried to take it out and he couldn't go. So fingers crossed or it will be the operation, turp. However his Psa has come down from 33.41 to 8.41 from a blood test a few weeks ago. More blood was taken today so hopefully it's fallen further. Has anyone else had chemo and radio for locally advanced? 

It's nice to be important, but more important to be nice! 

User
Posted 17 Jan 2019 at 22:38

LMC

I had to have a supra pubic catheter put in before they would give me Salvage RT. The purpose of my SPC was insurance against the stricture in the urethra closing up.

Thanks Chris

 

User
Posted 18 Jan 2019 at 13:19

He's just had a phone call from the hospital. They are trying again Thursday to remove the catheter and see how he gets on. He hates it with a passion. I really hope he can pass urine without it this time! Did anyone else have chemo followed by radiotherapy? 

It's nice to be important, but more important to be nice! 

User
Posted 18 Jan 2019 at 14:03

Hello, yes my husband had 10 sessions of chemo, then a break and onto Radiotherapy. His PSA to start was 584, that was back in September 2017, he had a PSA test last week and it's 0.3 :) - he is also on 3 monthly Zoladex.

User
Posted 19 Jan 2019 at 09:58

Can I ask what your husbands gleason score and stage he was at? My hubby is stage 3b and gleason 9.  The wording our consultant has put the survival rate has changed from the first time we saw her. At first she said in 5/10 years 30/40% are classed as cured with the rest still having some kind of treatment. However Thursday she said there is a 50% survival rate. Scared both of us as at first we had hope. Now just 50% chance he may not be here in 5 years time 😔. 

It's nice to be important, but more important to be nice! 

User
Posted 19 Jan 2019 at 11:05
Hi . My husband is 4+5 = 9 & T4 aggressive cancer

I think it all depends on how aggressive the cancer is & how they respond to the treatment. I do think with prostrate cancer although lots of men seem to beat all the odds & survive for years others aren't so lucky .

User
Posted 19 Jan 2019 at 22:44

How are you coping with it as his wife? I try to be strong for him and put a positive spin on anything the consultant has said. He has been all over the place and it's been so tough emotionally. If I'm honest I'm scared of what is to come. 

It's nice to be important, but more important to be nice! 

User
Posted 19 Jan 2019 at 23:47
Like you I try to be positive . But I am finding it very hard to sleep as my brain goes into overdrive . It's the not really knowing how thinks will pan out that is so scary .

He got his urologist appointment on Monday 4 th March to see about having his prostrate scraped. Hoping it will shrink down enough so he hasn't got to go through that .

I want to ask this consultant a few questions about having the radiotherapy as originally he said no point in having that . It would be chemo as it was incurable . Then we go to see radiologists & he says no to chemo & full course of radiotherapy. So all very confusing . Is your husband on monthly injections . Mine is due his third on Feb 13th but consultant is switching him to three monthly injections

User
Posted 20 Jan 2019 at 01:05
Generally speaking, urologists are experts in urology (particularly surgery for urological conditions) and oncologists are experts in cancer treatment so it stands to reason that the onco knows more about treating your husband than the urologist does. In most cases, once the urologist knows that PCa is incurable, they hand the case over to oncology unless there is still some specific thing that they might need to be involved in, in your case the possible TURP but in other cases, managing permanent catheters, frequent UTIs, etc.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 20 Jan 2019 at 01:09

Originally Posted by: Online Community Member

 At first she said in 5/10 years 30/40% are classed as cured with the rest still having some kind of treatment. However Thursday she said there is a 50% survival rate. Scared both of us as at first we had hope. 

 

Sounds like a bit of misunderstanding or she got her words a bit muddled up. Men diagnosed with incurable PCa tend to be given better odds than 50% chance of surviving 5 years so as a patient being offered radical curative RT/HT it seems more likely that she meant he had a 50% chance of being in remission in 5 years? Worth clarifying when you next see her? 

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

User
Posted 24 Jan 2019 at 22:09

Sadly hubby failed 2nd twoc today so turp op to be done soon. Urology consultant never heard of this chemo research so got macmillan nurse in with us to. He wants meeting with oncology consultants ASAP. So chemo/radio or one or other back off the table for now. He wants to do the turp before any chemo or radio is started. Macmillan nurse said oncology want chemo to be started within the 12 week window from hormone therapy starting as this is what trial results show is best. Urology consultant didn't seem keen at all on chemo starting before op and oncology said they won't wait for the op and recovery to be done first. So deadlock. We are back in on Monday after the two areas have met. Also urology doc has asked for the trial results/data to be emailed to my hubby and himself ASAP before Monday so he can see if benefits outway the risks. So when the consultants seem to differ in opinion on his treatment plan does not give us much confidence and left us some what confused 😕 . 

It's nice to be important, but more important to be nice! 

User
Posted 24 Jan 2019 at 22:44
Hi Miss Chocolate

I agree with you . It can be very confusing. My husband has an appointment with urologist on March 4th.

Hospital rang . He wants to see Bill next Tuesday at 9 .

User
Posted 25 Jan 2019 at 12:07

Well he has just had another hormone injection today. The practice nurse told him as he is type 2 diabetic any chemo would put him on daily insulin injections for life.He currently takes metformin tablets which I believe non diabetics use in the stampede trial. So with the urology consultant worried chemo will affect his upcoming turp operation and now this he is wondering whether the original plan of radiotherapy is best for him after all? 

Edited by member 25 Jan 2019 at 12:09  | Reason: Not specified

It's nice to be important, but more important to be nice! 

User
Posted 28 Jan 2019 at 22:07

Also the urologist says we are aiming for a cure. He has seen men my hubby 's stage cured he said. However oncology say they are aiming to treat/manage it, not cure it. Anyone else been told they would be managed but ended up cured? 

It's nice to be important, but more important to be nice! 

User
Posted 29 Jan 2019 at 08:54
Never think you are cured of cancer until 1 second before you die of something else!

Better to think in terms of remission as I think it helps you deal with stuff and also means you won't ignore symptoms because you are "cured".

User
Posted 01 Feb 2019 at 06:24

Had a chat at work with a diabetes nurse who said what the practice nurse said is rubbish!  Yes he would be closely monitored but insulin is a choice. Chemo with steroids can increase blood sugar levels but there are other choices in tablet form to help lower the levels. She's had over 25 years experience so knows her stuff. Anyhow the trial info about chemo was emailed to hubby. No solid data as of yet due to very new. Also urology consultant feels chemo is a big risk factor for infection with the TURP operation to be done soon. So hubby so far has decided on the original plan of radiotherapy.  His macmillan nurse said scans and bloods will be done again after radiotherapy and a session or 2 of chemo could be done at a later date if they feel it is necessary. The hormone injections will be for 2 years. 

It's nice to be important, but more important to be nice! 

User
Posted 01 Feb 2019 at 19:19
Hi sounds about same as my husband. He has turp opp booked for Friday 15 th . Then mri & bloods end March . Then starts 37 sessions of radiotherapy
User
Posted 07 Feb 2019 at 10:11

All seems to have gone quiet from the hospital for 2/3 weeks and we have heard nothing about his Turp op or any date given yet. So hubby has been leaving messages with the macmillan nurse and urology dept. The continuity of care has been sub standard over all. Differing advice on treatment plan. 3 different consultants seen in urology. The catalogue of errors I've stated previously.Now we are having to chase this. He has a gleason score 9 so this could be spreading further despite the hormone injections. I'm trying to keep calm for him but my impression of a swan gliding calmly on the surface whilst paddling frantically underneath is getting harder to keep up. 

Edited by member 07 Feb 2019 at 10:14  | Reason: Not specified

It's nice to be important, but more important to be nice! 

User
Posted 07 Feb 2019 at 10:38
His hormone injection is the main treatment and his PSA dropped immediately so the cancer will not be spreading. If as you stated previously, your OH has decided to go with the radiotherapy plan, he will be on HT for at least 3 months and probably 6 months before he is called in for a planning appointment. If urology want to arrange a TURP in the meantime then they willl do but I guess clinically it is sensible for them to wait a while now to see how much the tumour shrinks ... it may make the TURP unnecessary.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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