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What side effects, if any, did you have with Cyberknife?
Prostate Cancer | Last Active: Jun 9, 2025 | Replies (29)Comment receiving replies
My experience with SBRT post prostatectomy has been very good. As I understand it, SBRT is being recommended as your first treatment.
The treatment seems to be improving with the wider use of PSMA PET, which can detect more micrometasis deposits. They can see more cancer at lower levels and can target it with SBRT.
Also, it's not clear whether your cancer is still organ confined. If it is, then SBRT, is still a good choice. If it's treated within the prostate itself, you'll be monitored to see if any has gotten out. If it has, SBRT may be a good therapy for that too.
Prostactomies are becoming increasingly safer and thorough.
But there are still risks of losing erectile function etc. And it's surgery after all.
But also, a prostatectomy may be a back up to the SBRT.
If SBRT doesn't work, prostatectomy may be good follow on.
Talk to your docs, and check the issue out by using AI on the internet. Just pose the question.
Good luck.
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You said “ If SBRT doesn't work, prostatectomy may be good follow on.” And I am really wondering what you were talking about. If you have SBRT to the prostate You really can’t have a prostatectomy after, You can remove some excess tissue, but it’s been mostly eliminated.
Now, if you’ve removed the prostate, and you have metastasis come back that’s another story.
Mark Scholz who talks at all the PCRI Conferences, in the March conference, Talked about how he was strongly in favor of just using SBRT to treat metastasis. He talked in the last hour and a half of the conference If you want to see it on YouTube. He found that this works to give long term Remission to many of his patients.
In the recent PCRI conference, they mentioned the fact that the PSMA Pet cannot see Metastasis smaller than 2.7 mm. They have problems if they’re even 5 mm in some cases, reported a Doctor in a recent conference by UCSF.
SBRT radiation can handle smaller metastasis than 2.7 mm, If you can find them it can zap them.