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3 month follow up

Prostate Cancer | Last Active: 2 hours ago | Replies (21)

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@heavyphil

Hey Steve, yeah, ain’t life a blast sometimes? I surmise from your results that you either had some small spread presurgically or other factors which precluded total eradication of the cancer by surgical means alone.
But you are in a better spot than if something went undetected for years and was able to metastasize to distant bones where you would have needed even more radiation (SBRT) than the 45 salvage sessions.
I had 25 and it was a lot for me, mostly because of the no gas/full bladder which is absolutely essential for successful treatment. Not only do you want to kill the cancer, but you don’t want to harm anything else along the way.
Every day after a session the tech would say “great job today!” And I would say , “But I just laid on the table!” They would then tell me that all the problems most men face after radiation (proctitis, bladder stricture, etc) come from improper prep: gas in the bowel or less than full bladder.
So you have to do that for over 45 days (DON’T cheat on weekends - you’ll pay for it on Monday) and that is gonna be the most difficult part of the treatment discipline-wise.
But you’ll do it and the time really flies once you are in it. You got this, Steve! Best
Phil

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Replies to "Hey Steve, yeah, ain’t life a blast sometimes? I surmise from your results that you either..."

Phil - thanks for the support & information. While I've researched PC extensively, I had not studied radiation preparation, so your advice is really helpful! I need to read up on that. My recent PSMA PET scan showed no cancer in the pelvic bed, but several lymph nodes showed matastisis (I guess others than the 21 the surgeon removed). When I was discussing my fast BCR with my RO, I said, " I think my cancer had metastasized before I had surgery." She said she agreed. I keep reading about micrometastases, especially with high Gleason scores, cribriform, and IDC. I believe this is/was the cause of the early matastisis. Good luck to you too! Steve