Brachytherapy? Anyone have thoughts?

@jeffmarc Biopsy of lung mass wa negative for malignancy. See my original post above... "Recently a mass in LUNG 6.5cm was found...." This is new finding in different area, not prostate. 🙂
Another biopsy, brain MRI, PET scan are scheduled in near future in lung.

@unidrv
Biopsy of your lung tissue says it is not prostate cancer, So it is some sort of tumor, or a cyst. You really need to speak to the doctors and find out what they are finding and maybe get a CT scan though an MRI would actually be preferred.

I am a Canadian, living, and having been treated in Canada. I had prostate cancer dignosed early May 2023. My PSA wa 13.3, and following biopsy my Gleason score was determined to be 7 (4+3) high intermediate. Attached to the nerve bundle, my cancer was agressive in nature. I was given choices of radical prostatectomy, HDR (HIGH dose rate) Brachotherapy (Temporary radioactive seed placement), radiation and hormone therapy. I chose the latter THREE. I am two years and five months post treatment. PSA is 0.03 and Testosterone varies between 5.5, and 9.0 thus far. (US meaurements are different). So far so good. For one year, ED, then second year I could feel everything, but no pre-coital, or ejaculate fluids. That remains the same, currently. I am 68 years old so that doesn't matter to me much. Being active does, so that much is good. Recently a mass in lung 6.5cm was found and biopsy says no cancer. Mass grew more so further tests bein arranged. Not sure if this is related to prostate metasticising or not. It does seem that the initial treatments have been successful, but that will be confirmed later. Treatment is a personal choice, one I made with my wife being fully informed, and included in all considerations toward my choices. Good luck, and I do hope this offers a bit of outside insight for you and others.

@groundhogy don’t know how I missed it just saw your post after I posted the question thanks by what I read what you say is good.. I’ll look into this ..

Hi guys! All the info has given me some peace although my brain works overtime. I started Lupron (2 weeks almost waiting for the dreaded side effects - hope doesn’t do to bad on ne) Did 30 days bicamultide and oncologist recommends brachy +VMAT I’m really not sure if I want to stay on Lupron sone people say oncologists don’t recommend it when doing brachy? I’m gonna find out more from my oncologist .. don’t start until Jan 9 2026 .
Thoughts ?

Look here. You will see brachy is very curative. This is because since the radiation comes from inside thebprostate, it doesn’t pass through any organs, they can dose you up a bit higher…
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Here is a good website to compare odds of cure for the major treatment paths. You have to determine your stage, low risk, intermediate, or high risk (risk of recurrence). So if you are intermediate, pull up the intermediate chart and you can see the odds of 10-20 yr survival, etc. based on the treatment you pick.
https://www.prostatecancerfree.org/compare-prostate-cancer-treatments/
It is best viewed on computer or just print it on paper. Not so viewable on phone.

To make the graphs easier to read, i drew a dot on the endpoints of the elipses, and then drew a line through the dots. This turns the elipses into lines.

Also be aware the the graphs don’t show any salvage radiation benefit. This would boost the surgery odds up a bit.

And, this is a very dysfunctional industry from my view. Loads of bad info mixed in with the good info. Same with the docs. Many of them are more dangerous than the cancer.

OK, I'm 75, gleason 9 with no spread on PSMA. I elected HD brachy, 6 mo ADT, and beam radiation because during my joint consult with a surgeon and radiation oncologist they said I be a poor surgical candidate

@retiredboomer71 You make a solid point. My Gleason is 8 so high-risk but not as high as yours. I’m 74 so close to your age. It was a difficult decision but my RO view was to treat what he could see. That was my philosophy in general, so I was comfortable with that. It is a risk/reward decision. I think yours was a solid choice.

I had BRACHYTHERAPY two weeks ago. 4+3+7 Gleason and a PSA of 6.4. SMA PET found all Cancer confined to the prostate. Urinary side effects were tough for about 5 days then dissipated - burning, frequency, etc.. I'm also on ADT Orgovyx for six months.

Started eternal beam radiation (25 sessions) today. Feel good but, a bit tired. One day at a time.

@robertov, in my case (stage 2 G9), even though PSMA PET scan showed no spread, adjunct external beam radiation was highly recommended for my treatment plan.

That recommendation was the same whether I opted for surgery or HDR Brachytherapy.

Before deciding, I consulted a surgeon (prostate specialist). In addition to RALP, he also recommended adjunct external beam as part of my treatment.

I think it's a risk vs reward decision.

At my age (72), I believe the long-term risks of adjunct radiation are outweighed by the benefit of a potential "cure". At the very least, for my aggressive prostate cancer, I believe adjunct radiation substantially delays a likely biochemical recurrence.