1. < Prostate Cancer

What's a safe Wait-Time from date of biopsy to start of RT or RP?

Posted by vircet @vircet, Mar 9 9:28pm

My MO and RO indicated that I can choose between RT or RP. I read that after biopsy, the prostate would have inflammation, making it too close to other organs that may be damaged inadvertently with a too early treatment; better to wait for the inflammation to go away. How long did you wait from biopsy date to treatment date?

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jeffMar | @jeffmarc | Mar 22 7:35pm
In reply to @vircet "@jeffmarc The term used by my RO is "ADT with Vigalex." It's like ADT + vitamin..." + (show)
@vircet

@jeffmarc The term used by my RO is "ADT with Vigalex." It's like ADT + vitamin D (naybe?). The prescription is waiting for me at the cancer center pharmacy, I'll get it (them) on the same day they put my gold seeds/fiducial markers. The day after (or two), I then see my RO For the treatment planning. I was told previously that prior to the 5-session treatment (maybe mid-April?) there will be a simulation -- that will ensure I'm in the same position on the treatment machine each time. I'll see how it goes and update the support group. Thanks for your comment. As usual, you're very helpful.

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Didn’t they also tell you to take calcium? Calcium citrate is preferred by the pharmacist that I have been working with.

A pharmacist calls me every 6 months to go over all drugs and issues.

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vircet | @vircet | Mar 22 8:58pm

@jeffmarc I will see what else I find in the package they will give on the 26th. If there's no calcium, I will ask.

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perrychristopher | @perrychristopher | Mar 23 8:49am

My biopsy was early May and my RALP was August 4. That was the earliest the surgery could be performed by my surgeon. I guess I never thought of prostate healing time from biopsy. Of course I spoke to an RO about getting treated using radiation in the time between biopsy and surgery. Also, I had to get a bone scan and an MRI before surgery could be performed. Surgery went well. PSA under 0.1 since (2.5 years). Hopefully it'll stay that way.

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kjacko | @kjacko | Mar 23 9:00am

My surgeon said he likes to do an RP within 30days of the biopsy. I waited 6 because I had a vacation planned. When removed my pathology report showed a Gleason 9 rather than the Gleason 7 the biopsy showed. A year and a half still showing undetectable PSA, so I’m glad I had it removed. Good luck with your decision.

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vircet | @vircet | Mar 29 11:49pm
In reply to @jeffmarc "Didn’t they also tell you to take calcium? Calcium citrate is preferred by the pharmacist that..." + (show)
@jeffmarc

Didn’t they also tell you to take calcium? Calcium citrate is preferred by the pharmacist that I have been working with.

A pharmacist calls me every 6 months to go over all drugs and issues.

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The cancer center pharmacy dispensed my first month's supply of ADT Orgovyx this past Wednesday. My RO prescribed refills for three more months, assuming I won't have problems, else they will change the prescription. The vitamin D is available over-the-counter in outside pharmacies, I have to buy them myself. I was not advised to take calcium, but I was told to stop the herbal product that I use (has unwanted interaction with Orgovyx).
I did some reading, this is what I found about vitamin D.
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jeffMar | @jeffmarc | Mar 30 11:12am
In reply to @vircet "The cancer center pharmacy dispensed my first month's supply of ADT Orgovyx this past Wednesday. My..." + (show)
@vircet

The cancer center pharmacy dispensed my first month's supply of ADT Orgovyx this past Wednesday. My RO prescribed refills for three more months, assuming I won't have problems, else they will change the prescription. The vitamin D is available over-the-counter in outside pharmacies, I have to buy them myself. I was not advised to take calcium, but I was told to stop the herbal product that I use (has unwanted interaction with Orgovyx).
I did some reading, this is what I found about vitamin D.

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Vitamin D is a standard recommendation for prostate cancer people on drugs. 2000 IU is about the right amount I’ve been told by my doctor, You can always take more.

Calcium is a standard recommendation for those on ADT or other cancer drugs, here is the reason why, ask your doctor about it.

Calcium is recommended for men undergoing treatment with drugs like Lupron (leuprolide) or Orgovyx for prostate cancer because androgen deprivation therapy (ADT), such as Lupron/Orgovyx, can lead to significant bone loss and increased risk of osteoporosis. This occurs because ADT reduces testosterone levels, which are crucial for maintaining bone density.
To mitigate bone loss, calcium (1,200–1,500 mg/day) and vitamin D supplementation are often advised. These nutrients support bone health and may help reduce the risk of fractures, which is a common complication of long-term ADT

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vircet | @vircet | Mar 30 12:38pm

Next time I see my RO, I will ask if the plan for me is: "ADT + vitamin D initially" but "+ calcium down the road if ADT will be long-term." Thanks.

P.S. My RO's first advice was for me to have the ADT injection every four months, but I said I didn't like that, I was worried how my body will react. It was an accommodation of my concerns, that I was prescribed Orgovyx although it will be more costly for our tax-dollars-funded health care system. After my first month's supply runs out, if/when I get the next three months of Orgovyx, I suppose it may the time to start calcium. I will find out.

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