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Newly diagnosed with prostate cancer and still gathering information
Prostate Cancer | Last Active: Sep 4, 2025 | Replies (150)Comment receiving replies
Hi Phil,
Thanks for the info. How many treatments did you have? My doctor says 35. So, that’s 5 days a week for 7 weeks. What was your PSA at the start of treatment?
Do you know if the beam intensity is as higher as the stereotactic therapy where they treat certain spots that crop up on the PSMA-PET scan? Did your doctor request this imaging before the salvage therapy.
Lou
Replies to "Hi Phil, Thanks for the info. How many treatments did you have? My doctor says 35...."
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Hey Lou, I had 25 treatments instead of the older 35-39 protocol. Same amount of radiation, just a little more per session. Side effects after 6 months are even for both protocols.
It’s probably much lower than stereotactic, which is usually 5 session Cyberknife or MRIdian; that beam is very focused in a smaller area so they can give high dose radiation to a precise area. Salvage radiation is more like carpet bombing over a much wider area to kill whatever is there - foe or friend, unfortunately.
And yes, PSMA PET is pretty standard before therapy but they usually are clear until you get to the .5-.7 range PSA. Some men have much higher values and the scan is still clear so don’t put too much emphasis on it.
Are you going on ADT? If so, insist on Orgovyx; it’s oral and it does the same job as old fashioned Lupron but with less side effects ( in my case anyway).
Phil