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Considering Tulsa Pro or Proton radiation (full gland)

Prostate Cancer | Last Active: 47 seconds ago | Replies (20)
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Profile picture for clevelandguy @clevelandguy

Hi,
Yes I think it’s worthwhile to get a second opinion especially from a different doctor/hospital network who specialize in Prostate cancer. Proton is a very good form of radiation since it has a fixed beam length which does not go past the cancer sight thus no damage to bladder or rectum. Proton radiation uses photons where traditional radiation uses X-ray based beams. So on your last answer about Prostox, make sure the test also is valid for photon based beams.

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Replies to "Hi, Yes I think it’s worthwhile to get a second opinion especially from a different doctor/hospital..."
oldgreenpaint | @oldgreenpaint | 4 hours ago

@clevelandguy Proton rad can definitely hit the bladder. I know because it hit my bladder. 5 proton sbrt. It can be minimized, but not totally eliminated. The gel rectal spacer helped me avoid any bowel issues, so far. Radiation side effects have a way of sometimes happening months or even years after treatment. I am nearing 5 months post treatment and still have urinary impacts. Hoping they go away.

To the OP, I would skip the TULSA and go for the radiation now. The recurrence rates for the TULSA are just too high, especially as it appears in your case.

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