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Final Biopsy

I have been on AS since March, 2016. I had a TRUS biopsy that revealed I had PCa. Gleason 4+3= 7 Stage T1c.PCa capsulized. My biopsy remains were sent to Prolaris for Genetic testing, results were in non aggressive range. This is why I chose AS

I just had a MRI Guided Biopsy on January 6,2017 The MRI Guided Biopsy results showed no significant difference than the TRUS biopsy.

I chose to go for a second opinion after the targeted biopsy, after the visit with the second opinion, I have decided to go for treatment. In no way the Urologist opinions made my decision for treatment. I decided it was time to try for a cure. I meet with an oncologist January, 23 2017 to discuss type of treatment. Which will probably be EBRT. I am 76 yrs of age and removal of the prostate, I understand I am not a candidate.

If any one has had EBRT, IMRT, or Brachy therapy. I would welcome your experiences dealing with it and comments!

Thanks,
Roger

Re: Final Biopsy

Roger,
I had EBRT for salvage treatment of 66 greys (already had my prostate out the year before). I have had no problem with it and seven years later have had no nasty side effects that the prostatectomy hadn't already created. I had no burning or irritation and am very happy with my result. However, my belief after talking to many men that have had EBRT is that there are two types of people. One type has no problem from the radiation and it kills the cancer cells and does not damage regular cells and the other type of person that will have damage to their regular cells from the radiation.

I suspect that there will be a study on this topic now that they have the DNA from most cancer patients and can start to correlate the amount of radiation damage with a person's DNA.

Re: Final Biopsy

HI Frank,

Thanks for the reply. I hope I am in that category that EBRT is not invasive.

I did see my Oncologist yesterday, and I set for treatment as soon as I get an MRI and CT scan done. I was very happy with the Oncologist, BTY- she is a woman Doctor. She was very detailed explaining my biopsy's and my Gleason scores and the procedures available to me. I chose Rapid Arc IMRT. I have never heard of Rapid Arc....

RapidArc® is an advanced technology we use in our Trilogy™ system to deliver intensity modulated radiation therapy (IMRT) with speed and precision.

I have to drink a quart of water and hold it during treatment. Hope I can do this. It takes about 8 weeks, side effects seems very minimal

She also said I could have robotic removal, but I declined that.

Drinking a quart of water, I am not looking forward that, the reason for that is to keep your bladder away from the prostate during treatment.

Roger

Re: Final Biopsy

Roger,
I tried to have my bladder at the same level of fullness for both the "setup" and then for all the treatments so everything would be in the same place every time. I used two cups of coffee about 45 minutes before my session time (I also take a diuretic pill for high blood pressure) and that would give me a consistently full but not painfully full bladder. You might try different amounts of fluid to see what seems to be the right amount for you if your doctor agrees.

Re: Final Biopsy

Frank,

They want me to drink a quart of water before each session. two cups of coffee is way below a quart. I am very worried that I cannot handle a quart of water. Wondering why the two cups of coffee was sufficient for your radiologist. (Maybe I am just misunderstanding your procedure.)

I am taking tamsulosin, one tab per day, I just increased that to two. I am hoping that will help some. It's enough to get stressed doing the radiation, and the fact cancer is lurking in your body, then throw a quart of water in the mix and hold it for two hours is a bit much.

Thank you Frank for the support!

Roger

Re: Final Biopsy

Roger Philpot
Frank,

They want me to drink a quart of water before each session. two cups of coffee is way below a quart. I am very worried that I cannot handle a quart of water. Wondering why the two cups of coffee was sufficient for your radiologist. (Maybe I am just misunderstanding your procedure.)

I am taking tamsulosin, one tab per day, I just increased that to two. I am hoping that will help some. It's enough to get stressed doing the radiation, and the fact cancer is lurking in your body, then throw a quart of water in the mix and hold it for two hours is a bit much.

But , I will put on my Big boy pants, and stop whining. And do What I got to do!

Thank you Frank for the support!

Roger

Re: Final Biopsy

I would agree with Frank's suggestion about discussing the timing and amount of water with your doctors. As I had a difficult train journey before each session my consultant agreed that 500 ml taken about 30 minutes before I reached the hospital would be sufficient. I know that protocols vary but 2 hours beforehand seems a bit excessive.

Best wishes.

Lyn

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