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I now will need to decide on SBRT or Brachytherapy
Prostate Cancer | Last Active: Jan 18 4:06pm | Replies (28)Comment receiving replies
@heavyphil Your recommendation is valuable to me. You put the emphasis on hormone therapy after treatment, so the front end modality either SBRT or Brachy may not make much of a difference in reality, looks like.
Dr Kishan did mention the type of hormone medicine is new (unfortunately I did not write it down because I did not think I would need it) and has less side effect than Lupron, but there is side effect nonetheless. I wonder if I could elect to use it, and watch how I react to it, then if I can't endure, then ask to stop it after 3-4 months, for example.
I will have to ask UCLA about that.
Replies to "@heavyphil Your recommendation is valuable to me. You put the emphasis on hormone therapy after treatment,..."
@frank1956 yes, Frank, he is probably talking about Orgovyx - it’s newer and it’s oral. You can stop it, but if you exercise as recommended your SE’s will be minimal.
Sexual side effects vary but that is to be expected. You usually begin ADT 8-10 weeks before radiation to weaken the cancer and halt growth and spread; then radiation, followed by another 8-12 weeks ADT.
Most RX’s call for 6 months but some on the forum have done 4…
Phil
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@frank1956 I completed SBRT
for localized PCa in September; because my Gleason score was 9 additional ADT was not presented as optional. After a first 3 mos depot-Lupron injection, I was switched, at my request, to Orgovyx (mostly to avoid having to drive in to LA from my home in the Coachella Valley for the injection). The well-known side effects of ADT are unpleasant, but not unliveable, and there is an endpoint! My PSA at 3 months is down from 15.1 to 0.19, which is reassuring. My Rad Onc (in the same department with Dr Kishan, will consider limiting ADT to 12 months pending my continued therapeutic response and clinical course.