While you were on hormone therapy, what was the lowest your PSA reached?
What was your PSA nadir following radiation treatments?
Which medications have you had for the urinary issues?
What was the concern with your 4+3 that required a brachy boost to your RT+HT?
They say that sometimes with with brachytherapy (& SBRT) there can be a PSA bump (or bounce), due to the high radiation dose and the delay of death of prostate cancer cells (causing a PSA spike); that’s typically 12-18 months out from treatment. (If it were me, I’d get another PSA test just to see if was a bump, or if it’s still trending up.)
(For a 4+3, I had 28 sessions of proton radiation + 6 months of Eligard. I had no lingering adverse issues. PSA dropped to < 0.008 due to the HT; nadir was 0.13. Now 4-1/2 years later, PSA varies between 0.35-0.55; most recent PSA was 0.473.)
@brianjarvis Thanks for your reply.
My first PSA reading after all treatments was 0.006 on the 8th October 2024, last R/T was the 25th June 24 and HT August 24.
The Brachytherapy with the HT+RT was the recommended treatment.
My consultant said there can be a bounce as stated. I have a meeting on the 28th of this month, I will request a cystoscopy and maybe a bladder scan.