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Radiation after RARP

Posted by dinu @dinu, May 10 9:23am

As you may know from my previous discussions, I am 45yrs old, just had RARP in March, after being diagnosed with stage T3bN1R0, Gleason 9(4+5), initial PSA 180, locally advanced, with lymph nodes and seminal vesicles affected.
RARP took out prostate, 13 lymph nodes, seminal vesicles and 30% of nerve bundles.
I have been on ADT (Firmagon) since October.
The PSA after surgery, while granted a bit too soon was less than 0.15.
Pathology results showed negative margins and only 3 out of the 13 lymph nodes had cancer cells.
Recommend part forward is to continue ADT for 2 years with 6-7 weeks of RT.

And now to the actual question...
My local hospital has the following capabilities:
1. IMRT with VMAT and Rapid Arc
2. SGRT with HyperArc
3. SGRT+DIBH (gating)???
4. IGRT
5. ART (Ethos+ Hypersight)

The hospital has a description for each on their website, however I would like to know what methods have some of you already used, what were the side effects and which one of the above listed options should I choose. I understand that most of you are not medical professionals it is simply for.my better understanding of the above options.

Thanks to all in advance for your inputs.

Stay strong and be positive,
Dinu

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prettypass2000 | @prettypass2000 | 2 days ago
In reply to @heavyphil "@bob1955 Totally! And they emphasized that the results (SE’s) were directly proportional to bladder and bowel..." + (show)
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@bob1955 Totally! And they emphasized that the results (SE’s) were directly proportional to bladder and bowel prep.
You really are an active part of this process - thanks for your post!
Phil

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@heavyphil The most difficult part for my husband was to find the right amount of water and right time to drink to keep the bladder full each day. It took him 3 days to get the right amount (550 mg) and time (45 mins before treatment). For bowel prep, he used enema (5mg) 2.5 hour prior to treatment and then take Movicol (Miralax in US) every afternoon because he had difficulty sometimes. It helps with the "full bladder & empty bowel) on daily basis.

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