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What side effects have you experienced from SBRT for prostate cancer?
Prostate Cancer | Last Active: Jun 6 7:50am | Replies (56)Comment receiving replies
I finished radiation for mine December 28, 2023. I was 68 years old at diagnosis. One core 4+3, one core 3+3. PSA was 7.8, Decipher was high at 0.84. confined to prostate, my PSMA PET was clear.
My RO was able to visualize my urethra on a CT, MRI and the PSMA PET. Using that information he used "urethral steering" to ensure the urethra did not receive any radiation "hot spots". I had 3 fiducials placed and a Barrigel rectal spacer. I was treated with 5 fractions of SBRT over 2 weeks using a Varian Edge LINAC. My prostate received a total of 36.25 Gy with the primary lesion receiving a focal boost to 40Gy. I also took Orgovyx for ADT for 6 months, The entire ride was remarkably easy, and if I had amnesia from the actual two weeks of treatment I would be hard pressed to know anything was done. Six weeks after the SBRT we went on a two week SCUBA trip.
So, 16 months post radiation and all is well.
Also, check my posts here:
https://healthunlocked.com/prostate-cancer-community/posts/150350149/sbrt-4
https://healthunlocked.com/prostate-cancer-community/posts/150384210/day-8-post-sbrt
https://healthunlocked.com/prostate-cancer-community/posts/150412299/post-sbrt-day-9-15
Stay Strong Brother, We Got This.
Replies to "I finished radiation for mine December 28, 2023. I was 68 years old at diagnosis. One..."
Same here, I was 68 y.o. when diagnosed in February. I was Gleason 7 (3+4). I started ADT (Orgovyx) on March 26, SBRT from April 9 to 21 (without SpaceOAR). I noticed some white mucus and a little blood on my stool about 4 days in week 2 post-radiation; I notice no more in week 3. Heard that risk of rectal damage could have been reduced substantially (not 100% eliminated) if there was a spacer.
My oncologist mentioned that my immediate side effects would occur around the 3rd or 4th week after my last SBRT. I am cautiously optimistic for this coming week, when my wife and I will be on a Disney Cruise (booked 8 months before my diagnosis). My oncologist said that I'm good to go; I hope if my SEs peak on week 4, they wouldn't be much worse than week 2. (The long-term SEs may be 10 years or more down the road; not worried about them yet--new treatments may be available by the time they appear, if ever.)
My oncologist will advise if I can get off Orgovyx after 8 or 12 months. I am just a month and a half now.
Nice to hear. I have a similar situation. I await the results of my Decipher test. If high, my therapy will very likely be similar and I feel better about it after reading your post.
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Glad to hear that everything went well with you! That is very encouraging for me because I am nervous as hell.