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Considering Tulsa Pro or Proton radiation (full gland)
Prostate Cancer | Last Active: 18 hours ago | Replies (101)Comment receiving replies
Thanks. Yes I have asked for Prostox test. I think I surprised them with that question as they don’t do it normally.
They didn’t think I needed the gold markers and the gel, but I’ve requested it anyway.
My research shows that having a small amount of Gleeson five I’m not an ideal candidate for SBRT 5 session. So I’m leaning towards the 28 sessions even though it will be much more inconvenient.
I’m waiting for my decipher test to come back next week on my 3+5. If that’s low, it may eliminate or reduce the six months or longer of ADT. I’m really not looking forward to the ADT side effects. I agree with you….i will specify the pill over the Elgard. Hopefully Medicare will cover that.
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@jaygk Medicare B covers Eligard; Medicare D covers Orgovyx, since there are lots of plans check yours. A lot of Doctors like control. Once you take the Eligard jab you are stuck in more ways than one, regardless of any side effects. You can stop taking Orgovyx and ADT effects will subside in weeks, but bone loss is not easy to reverse.
They are right about the gel and fiducials if the aim is true; however, the gel gives extra safety. The urologist can do both at the same time.
As far as treatment it seems you have a good plan if Prostox Std comes back as low/avg risk. If high risk (75% chance of late effects) should consider either SBRT (if low/avg risk on Prostox Ultra) or RP.