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← Return to Salvage surgery or salvage radiation?
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Salvage surgery or salvage radiation?
Prostate Cancer | Last Active: Mar 16 7:55am | Replies (44)Comment receiving replies
@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.
Replies to "@prettypass2000 Definitely would prefer the MRI Elekta machine, more accurate and less chance Of other organs..."
@jeffmarc I looked up Prostox test in Germany. Unfortunately, there seems to be none. I'll need to ask the second radiation oncologist or our clinical case manager to see if this test exists in Germany.
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@jeffmarc Thank you so much for this advice. I will pass the information along to my husband. It's good to know all of this before he makes any decision. The lymph node that is affected is on the right external iliac, which from another surgeon(second opinions), it's not an ideal situation for my husband due to his pre-existing L-5 syndrome.