← Return to ADT for several months before Radical Prostatectomy

Discussion

ADT for several months before Radical Prostatectomy

Prostate Cancer | Last Active: 4 hours ago | Replies (26)
Comment receiving replies
@krs03

You are making the point the Surgeon (Fellow, 2nd dude in the surgery) said about CR, castration resistant PCa. It's still unclear to me how that takes place and what to do in order to prevent that.
I hear that there are men years and years on ADT, and not resistant. I really don't want to see my PSA rise and would want to squelch that with whatever means possible. My ignorance is showing, and without the advice of an oncologist I'm partially blind.
I'm getting a referral for a GU oncologist (GenitoUrinary) which should be a good 1st stop. Next is a Radiation Oncologist at a closer medical facility.

My next searches will be PBT vs. IMRT vs. SBRT. Sounds like the PBT causes the least side effects, but may not be covered or even available to me.
Thanks once again, HP

Jump to this post

Replies to "You are making the point the Surgeon (Fellow, 2nd dude in the surgery) said about CR,..."
heavyphil | @heavyphil | 4 hours ago

No apologies about ignorance allowed - we are ALL struggling to understand the many contradictions- and exceptions to the norm - this disease presents. Your consults will be another step in getting a grip on a treatment plan.
Castrate resistance is another enigma which happens to some men and not to others on ADT for many years - who knows why?? But the chances for it happening seem to increase the longer you are on it. Many docs even believe in “holidays” where ADT is discontinued for months at a time.
If you want to squelch a rise in PSA, ADT is the answer - but only as an adjunct to radiation following RP. It is NOT definitive treatment in your case.
The RO consult should be especially informative since it will go over the what, how and why so write all your questions down - and the responses as well so you can refer back later; your brain will ache from all the info thrown your way. A spouse, partner, friend or relative being there is also helpful…Best,
Phil

VIEW AND REPLY