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Finished 28 Proton Therapies

Prostate Cancer | Last Active: Feb 17 11:28am | Replies (55)

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@jc76

@frank1956
I had 30 rounds of proton radiation at UFPTI. I was told by May Clinic Jacksonville at a Prostrate Seminar that most urologists do not want to do surgeries after radiation treatments. If makes doing the surgery very difficult.

The commentator did say it can be done but only a few will do it.

Hope this helps and this came from Mayo Jacksonville Prostrate Seminar and not my personal
opinion. When and if you have recurrence your urologist, radiologist/oncologist would be best to asked about what treatments for you. I believe it would be based again of degree of cancer (risk levels) and where and how much it has spread outside of prostrate or still in the prostrate only.

Just know that there are still many treatments that can be done outside of sugery.

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Replies to "@frank1956 I had 30 rounds of proton radiation at UFPTI. I was told by May Clinic..."

jc76

Thanks for the reply. I see some people underwent 30, 40 rounds of Proton treatment. Some only went with 5 rounds of treatment. Is this by choice or decided by their Radiation Oncologist in Cancer center according to their level of PCa?

Data from Dr. Kwon (of Mayo Clinic) indicate that if there is recurrence following initial radiation, 45% of the time the recurrence is not in the prostate - it’s elsewhere in the body, so surgery to remove the prostate isn’t even a consideration.

If recurrence following radiation is in the prostate, there are many other options, other than a salvage prostatectomy — all depending on the nature of the recurrence. I personally know 2 guys who have had repeat SBRT because recurrence in the prostate was just a single spot.

Surgery following radiation is a last and final option only if there are no other options available.