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Rising anxiety: my two doctors don't agree

Prostate Cancer | Last Active: Mar 20 10:49am | Replies (12)
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@bluegill

"High Anxiety" is a delightful Mel Brooks movie (1977). But I digress...

Thanks for the comments. My only hesitation with brachy is that a few people get fistulas, so they have to live with poop and pee tubes hanging out of them for the rest of their lives.

My urologist says if my PSA rises more, he'll add enzalutamide.

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Replies to ""High Anxiety" is a delightful Mel Brooks movie (1977). But I digress... Thanks for the comments...."
heavyphil | @heavyphil | Mar 19 7:38am

Bluegill, although a lifetime of ADT is a lousy thing to ponder, the concerns you raise about fistulas are valid.
You’ve already had radiation (type? SBRT?) so since all radiation is cumulative, the HDR “could” cause the surrounding tissue to become necrotic; I mean, there’s only so much radiation you can get, right?
Does your RO have any plan (gel spacers or similar) to help minimize this?
My suggestion as a fellow forum mate and professional worrier is maybe to stay the course with the ADT while you do more research on the HDR, at least until you know more. Best,
Phil

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