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Having just had a cystoscopy, I thought I'd report on this because some matters of general interest arise.
The first is that I have a couple of nodules on the front wall of my prostate, for which I have to have a TURBT to investigate them and take samples. These nodules, if they prove to be cancerous, are concerning because the location is not contiguous with the prostate. Had I not pressed for a cystoscopy I would be ignorant of this further risk to my health. How much of a risk, I shall find out after a much bigger tube is inserted up my urethra (thankfully under anaesthetic!) to enable scrapings of the nodules to be taken.
The second interesting point comes out of my consultant's report on the cystoscopy. He describes "necrotic prostate tissue over the median lobe". This is three and a half years after EBRT. I had thought that irrariated (cancerous) and consequently dead tissue was absorbed by the body and excreted from the system. Apparently that is not so.
There's a third interesting point. The CT scan did not show up the two nodules, so although non-invasive and comforting in terms of "showing no abnormality" as the report put it, it has limited value when the evidence of symptoms suggesting an underlying problem is available.
I wonder if the "necrotic prostate tissue over the median lobe" is the material on the fringes of the focussed radiation. The cells which copped the main blast will have gone, absorbed by your system as you say: the healthy cells will still be there - sometimes generating abit of PSA and/or even getting a bit of infection.
Between these two, surely there must be some cells that were damaged but not killed by the radiation? Is it not these damaged cells that make surgery after radiation so difficult? I've never seen any scientific study on this subject but it would make sense to me if that were the case. Perhaps you'd like to ask your radiologist and let us know?
God luck with your next procedure - may all your nodules be benign polyps or simply atypical cells.
Just had a TURBT under general anaesthetic - and it is NOT pleasant having such a big tube containing the various tools stuffed up one's urethra. Consultant says if the nodules were cancer then its a new one on him - he simply doesn't know what he cut out! We have to wait 2-3 weeks for a definite answer following lab analysis. Anyway, apart from taking samples he cut out what was there, tidied up the necrotic bits and cauterised the nodule sites, so I'm a bit tender but getting back to normal. Will update my story in YANA Experiences when I have the lab results and a definite answer on what the nodules were.