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Third SBRT Opinion Worth It?

Prostate Cancer | Last Active: 15 hours ago | Replies (36)

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@heavyphil

It’s always worth the trip to get better care and the Linac certainly is that.
But perhaps this weak stream issue should be addressed first? SBRT (cyberknife) even with gel spacers delivers high doses of radiation and the bladder can become inflamed, swell and cause decreased flow or blockage( happened to my friend who was given Finasteride and did fine). So the RO’s, while understandably concerned, don’t address the WHY of your situation.
Do you have BPH? Congenital bladder condition?
There are quite a few stories on this forum of men who had TURP’s or HOLEPS or Green Light Laser therapy PRIOR to any cancer treatment because of these pre-existing bladder conditions.
So before you make that trip, you might want to look into that; you DO have time as your biopsy shows intermediate grade cancer ( a few months, not years!) and urgency ( no pun intended) is not an issue. Best,
Phil

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Replies to "It’s always worth the trip to get better care and the Linac certainly is that. But..."

The surgeon who did my biopsy has remarked several times that my prostate isn't very large (I don't know the exact dimensions). He also did a cystoscopy last Friday and didn't see anything major. He wrote me a prescription for overactive bladder but I haven't had a chance to pick it up. I probably drink too much coffee/tea, and I run, so I drink a lot of fluids in general, which I'm sure contributes to the frequency issues. I've been on Flomax several times in the past and am currently on Silodosin. I've seen maybe minor improvements at best.

I have about a month until the appointment in Houston. It is probably worth cutting down on (or out...ack!) caffeine and trying the bladder medicine to see if the issues improve drastically.