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Brachytherapy? Anyone have thoughts?

Prostate Cancer | Last Active: 5 days ago | Replies (36)
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@heavyphil

Hey Bob, how are you after all that? I think you actually did have surgery, right? And then more radiation?
I reread some of your posts and it seems that you may have had some spread as well. Could you have done HIFU after LDR failure in your situation? Hope you are on the mend! Thanks,
Phil

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Replies to "Hey Bob, how are you after all that? I think you actually did have surgery, right?..."
robertmizek | @robertmizek | 5 days ago

Hi Phil. Nice to hear from you. My surgeon and I did discuss HIFU and cryo- both but I decided to have a prostatectomy since I had lymph node involvement and it was a safer path towards cure. About six weeks after surgery I had 31 sessions of external beam radiation to the pelvic lymph node basin and one lymph node that could not be reached in surgery. I’ve been on ORGOVYX and generic Zytiga for 12 months now, but the last three months have been absolutely brutal with side effects, including severe nausea, dizziness, and cognitive issues. I’ve stopped both drugs now. I’ll meet with my medical oncologist soon and we’ll discuss switching me to estradiol patches to suppress testosterone and mitigate the side effects caused by near zero estradiol.
I’ll report back in a week or two once we have a plan in place and I see how things are going.

Hope you’re doing well!

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