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Brachytherapy? Anyone have thoughts?

Prostate Cancer | Last Active: 3 days ago | Replies (63)

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Profile picture for capatov @capatov

With the understanding that nothing is for certain and no treatment protocol is 100% guaranteed....I had one core 4+3 with PSA 7.1 and chose three pronged IMRT + one HDR brachytherapy "boost" and 6 months Orgovyx ADT. I am now 4 months post treatment expecting my second post treatment PSA in January. Prayer my PSA remains low.

I found the outpatient high dose brachytherapy procedure to be far less scary than I expected. I trusted my multi-disciplinary team at a university Center of Excellence and believe this three pronged approach gave me my best chance at a cure.

In summary, I did not want 70 radioactive seeds left in my body nor did the RO recommend low dose LDR. The one time high dose HDR was quite tolerable for me and hopefully did the "boost" trick on top of the other two therapies

Good luck with your decision and prayers for a cure for you as others on this forum

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@capatov hi Í saw your post and am facing brachy +lupron and VMAT. I am assuming you didn’t have prostectomy ? I was told I would need a urologist that could do the surgery cause my robotic urologist won’t due to proximity to rectum. There is one that can. Have not seen him was just informed today of him. But in discussion with intake specialist that would be my choice. I would rather not but I’m still trying to figure out how successful is the alternative no surgery, I read a lot that new studies show not much difference? I’m up and down the scale on Gleason from 6 to 8 last PSA 9.8. Started on bica 50mg a day lupron starts next week and im still at a loss .
Thanks for any input