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Difficulty in voiding after radiation treatment

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

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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! 👍

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Replies to "It's not my first step in treatment. Doublet therapy is the first step. Since there are..."

Actually, radiation is the first treatment for a large number of prostate cancer cases. They may put someone on ADT first, to try to shrink the prostate, so that the radiation is more effective. I know dozens of men who’ve had radiation first.

Most patients are offered radiation or surgery, and both result in similar long-term outcomes. There are some exceptions where surgery makes more sense to start with, but in a huge number of cases, radiation is sufficient to remove the cancer.

Doublet therapy is almost never the first step. It is only used in advanced cases where the cancer has already metastasized. The majority of people with prostate cancer have not reached that point yet, so double therapy is not used.

15 years ago when my prostate cancer was found, I had surgery because my father had radiation and still died from it. 3 1/2 years later, I had to have radiation because it came back. Only at that point was I put on ADT for six months, Two months before the actual radiation.

2 1/2 years later, it came back and I went on ADT (Lupron). 2 1/2 years later when I became castrate resistant, I finally went on doublet therapy (Zytiga)..

The vast majority of people only get double therapy after they have a reoccurrence.