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Salvage surgery or salvage radiation?
Prostate Cancer | Last Active: Mar 16 7:55am | Replies (44)Comment receiving replies
@jeffmarc
Update on my husband's radiation oncologist consultation today! The visit went remarkably well and has totally different atmosphere. Both doctors were great at answering questions, giving us information that we didn't think of, and presenting their findings, views, and recommendation. They even showed us the PSMA scan files, including where exactly the infected lymph node is. They also show the photos of their two different SBRT machine.
Their recommendation: 5 sessions of SBRT with or without ADT.
There are two types of machine:
SBRT with MR-Linac Elekta
SBRT with CBCT
Have you had any experience with SBRT with MR-Linac? How was your experience of SBRT? What are the side effects? What should we know before choosing this option? Thank you in advance. ❤
P.S. They wanted my husband to speak with uro-oncologist on ADT in depths since he has pre-existing hypertension and family history of Alzheimer's.
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@prettypass2000
Definitely would prefer the MRI Elekta machine, more accurate and less chance Of other organs being radiated.
I’ve had SBRT radiation on my spine. Three treatments to remove a metastasis. Had no side effects at all.
SBRT to the prostate is a little different. It can cause proctitis, A burning sensation when you pee and maybe reduced flow. It can also in some cases cause rectum problems like diarrhea or they need to go Frequently. These things are usually temporary and only last a few weeks. My brother had 5 sessions of SBRT to his prostate when he was 77, It was not MRI guided, It did cause some urinary issues, but Flomax was all he needed. He is now 80 and doing fine.
You still need to consider surgery. They can usually remove the lymph nodes that have tumors. It depends on where they’re located, Something you need to speak to a surgeon about. Even if they can’t remove them during surgery, they can use SBRT later to zap them.
You may want to get a Prostox test to see if your husband has a problem with SBRT. For some people that can cause serious problems in the future.