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Brachytherapy AFTER failed radiation?

Prostate Cancer | Last Active: Feb 8 11:01am | Replies (4)

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@bluegill

Thanks for the comments. It's interesting that here and in another group many people suggest getting genetic testing. Both of my doctors (urologist and oncologist) say I don't need one, because we already know my cancer is aggressive and high grade.

Yes, I recognize the value of ADT, but someday my cancer will evolve and ADT won't work anymore. My urologist says that could happen in 20 years, and my oncologist says it will happen in a year or two (I already did 3 years of ADT).

The recent PSMA shows no evidence of spread outside the prostate. The oncologist wants another MRI before the brachytherapy.

I would like an appointement at Mayo. How do I go about making one? I may wait until I turn 65 (next month) to get Medicare.

Anyway, if I can get 2 or 3 more years of life and longer breaks from ADT, they can stick whatever they like up my butt.

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Replies to "Thanks for the comments. It's interesting that here and in another group many people suggest getting..."

My friend had SBRT at Sloan one year ago - no ADT. His RO told him that if he had a recurrence, no worries, seeds can be done with a high degree of success.
For myself, I would try anything before going on ADT for life for all the reasons you mention. Best
Phil

Your doctors, missed one major thing when talking about genetic testing. If you happen to have BRCA2 In your hereditary or somatic test, you can use a PARP inhibitor to give you more time. If you go to the right center of excellence, they require you have a hereditary test. You should also ask about getting a somatic test at this point.

As long as you live in the USA, you can get one for free from this site.

Prostatecancerpromise.org

They will send a spit tube which you could spit into and just send back in in 2 to 3 weeks a Geneticist will call you To discuss your results. Do not pick the option that you want your doctor involved.

You should wait until next month because everything will be a lot cheaper. Take a look at Medicare advantage plans or regular Medicare with supplementals, Be prepared do it all ahead of time.