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What is treatment for Gleason Score 8 at 80 years old in good health?
Prostate Cancer | Last Active: 11 hours ago | Replies (87)Comment receiving replies
Radiation is most definitely not always painless. I did 5 fractions of proton sbrt and urinary discomfort started at second treatment and escalated a bunch, so much so that I discussed with radiation team the possibility of pausing after the fourth treatment. Didn’t do it. Oncology nurse recommended 600mg advil 3 times daily, 1000mg Tylenol between the advil, AZO for a couple weeks, and flowmax.
I am now 8 weeks post treatment and off of all meds except a flowmax every third day, and two advil at bedtime. If I stop flowmax completely, I have poor urinary capabilities. Radiation can hurt you. Just about anything in prostate world can hurt you.
I think Prostox from Miradx has a mouth swab test to help determine radiation suitability . I learned too late on this one😒
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@oldgreenpaint What you experienced is known - with the higher dose per fraction of SBRT, the risk of urinary bother is higher. (That is why I didn’t use proton SBRT; I had 28 sessions of proton radiation at 2.5 Grays per session).
Dr. Rossi talks about this in his portion of the 2023 Mid-Year PCRI presentation (https://www.youtube.com/live/WTqPnSRYtW4), starting at about timestamp 4:30:45.
These days they can even “cool” the radiation as they approach tissues/organs at risk if desired.