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How Important Is Having A Full Bladder During Radiation Treatment?
Prostate Cancer | Last Active: Mar 26 7:18am | Replies (50)Comment receiving replies
@jeffmarc
It is good to know that hormone therapy will not interfere with post knee surgery recovery. It is also promising to hear that Dr. Roach from UCSF has treated Rick Davis successfully and that he is cancer free for 14 years. Do you know what Gleason score he had? Did he also take hormone therapy? Or did he take estradiol Patch?
I could ask Dr. Roach if he could agree to prescribing estrogen patch. I did watch that video where they talked about using estradiol.
My husband has a very high grade cancer according to PSMA PET/CT but it is contained within prostate. He has two Gleason 9 and two Gleason 7 unilateral. Brachytherapy either LDR or HDR ( what I understand from videos of Dr. Mark Scholz and some other radiation oncologists) appear to be least invasive in terms of urinary problems. ED happens with all radiation therapies unfortunately.
Are there some good ways to counteract ED caused by radiation and hormone therapy?
Will Decipher and another test will be able to tell if one has BRCA2 ? What is BRCA 1 & 2? I remember Dr. Scholz talking about these genetic stuff. I have to ask the radiation oncologist to order genome and genetic tests for my husband to make sure if he is predisposed towards prostate cancer. Also Prostox test can predict who will have more radiation side-effects.
I will talk about prescription for estradiol instead of ADT first and second generation drugs. Besides being cheaper does estradiol also effectively keeps testosterone and PSA in check and causes much less side-effects caused by ADT drug’s?
Thanks a lot for information.
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@ambika
Rick Davis was a Gleason 8. I don’t remember him ever mentioning having ADT. You can ask him yourself on Tuesday at 3 PM Pacific time. If you go to ancan.org You can sign up for the meeting and get the newsletter. He sends it out every week. It has some pretty incredible information about the latest things going on in prostate Cancer treatment. You don’t have to sign up that you can just go to the meeting. You need to install GOTO meeting To attend the meeting. Type in answercancer as the name of the meeting. It’s available for every device. If you attend the meeting, get there 10 minutes early and you will be called on first to discuss your case and come up with Solutions. They’ve been doing this for 15 years and know a considerable amount. There’s always at least three doctors in the meetings.
If your husband has even one, Gleason nine, he is a Gleason nine the sevens are irrelevant.
The Urinary problems from radiation are short term in almost all cases. I had eight weeks of it and never had any urinary problems. Radiation seldom causes ED immediately, If you have surgery and they can spare the nerves that also can prevent ED. The thing is radiation, usually destroys the nerves, It’s possible to get an erection for a while, but eventually it goes away for most people.
Hormone therapy takes away the desire for sex and for most people prevents getting an erection. You can work around it by using a penis pump or the most successful thing is Trimix or Bimix. That requires injecting it into the penis, but it is a very small needle and really causes minimal pain. That can get him an erection for a couple of hours. You can also have an implant installed, Works quite well and Has a high satisfaction rate.
A decipher test does not test for genetic problems. You want to get an hereditary, genetic test? It is covered by insurance and most medical facilities will do it. They always have to send it away To be analyzed. Just tell your doctor you want one. If there is cancer in the family, Breast cancer, Pancreatic cancer, Prostate cancer and others then it is more likely that he would have a genetic problem and doctors would Desire to have the test done. Another reason you want to do it is you wanna make sure your children don’t have a genetic problem inherited from him. I inherited mine from my mother.
Estradiol is just as effective as ADT to keep testosterone down to Very low level levels. Do some searching for the Patch clinical trial, That’s the one that showed it definitely works. It has not been approved by the FDA because no one wants to run the test in the USA since the product is so cheap to buy. Richard Wassersug Who wrote a book on ADT has been on estradiol for 22 years, he has not become castrated resistant and has almost no testosterone. It is kept his cancer at bay all this time.
BRCA2 is a genetic hereditary problem that causes an Increased risk of prostate. Breast and pancreatic cancer, As well as a few others cancers. There are a number of genetic problems that caused similar issues. You can look up BRCA2 on the Internet and you will find out a lot of information. I got prostate cancer at 62 because my father died from it, and my mother gave me BRCA2. My brother got it at 77 because my father died from it But he didn’t have BRCA2.
Having a parent or sibling get prostate cancer increases the risk of getting it by over 100%.