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Difficulty in voiding after radiation treatment

Prostate Cancer | Last Active: Aug 19 7:52pm | Replies (17)

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I am very curious why your physician recommended radiation as the first step in treatment? Per my physician who was adamant about this, he said: "you never want to do radiation 'first' because it basically turns your prostate into a walnut sized chunk of concrete, making it impossible to perform a successful radical prostatectomy (RP) thereafter." He said, "you should always do the RP 'first', and if/when you need it, follow-up with radiation."
I know this for a fact as well: the father of the girl who cuts my hair is in a living hell for the rest of his life. He did radiation because he feared surgery. He screams and groans/moans from pain every time he "tries" to urinate. When she visits her parents home, she sits and watches her concerned mother cry as her father's screams are coming through the bathroom wall as he spends 20 minutes trying to urinate. He comes out of the bathroom looking haggard from his futile efforts. And of course, his urologist said that he is no longer a candidate for RP due to the complete course of radiation he went through. My recommendation: Before you get further down the line with radiation, you may want to re-visit the "radiation vs RP" topic (pros and cons of both) before it is potentially too late for the RP. Good luck...I wish you well.

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Replies to "I am very curious why your physician recommended radiation as the first step in treatment? Per..."

It's not my first step in treatment. Doublet therapy is the first step. Since there are more metastasis than the Doc writing my PSMA PET scan report cared to count, I was never a candidate for surgery. IMRT (IGRT) is the 2nd step and I'm pretty confident that chemo will be step 3, but that hasn't been decided yet. Normally, Pluvicto would be step 4 but since I have this pesky TP53 mutation that doesn't play well with Pluvicto, I'm hoping that current trials will come up with something else before I get there. All that said, I'm still looking at the green side of the grass and today's a pretty good day. I'll take it! 👍

Thank you for your input.