prostate MRI results one year after SBRT
I finished SBRT treatment on April 18th, 2024. I had an MRI performed on April 8th, 2025.
I had 2 lesions prior to SBRT(1/25/2024):
Left lesion o.9cm PI-RADS 4
Right Lesion 2.2cm PI-RADS 5
Prostate volume 37cc
PSA Density 0.26
One year after SBRT + 12 months on Orgovyx(4/8/2025):
I still have 2 lesions:
Left lesion 0.4cm PI-RADS 3
Right Lesion 0.6cm PI-RADS 5
Prostate Volume 24.3 cc
PSA Density 0.001
I just got these results today from a PA. I didn't talk to my team yet.
I will reach out to them tomorrow to find out if I have cancer recurrence and next steps. Hope I can sleep ok tonight!
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I am not sure how meaningful to compare with my results as long as your psa becomes undetectable at any rate:
Started Orgovyx on April 1,2024
SBRT started on April 8 finished April 18,2024
PSA Numbers:
May 15,2024 0.4
July 15 0.1
Oct 7 0.06
Dec 3 0.05
Feb 7,2025 0.03
Stopped Orgovyx March 27,2025
May15,2025 0.02
July17,2025 0.05
Hope this is what you were asking?
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Hug
1 ReactionThanks @ava11 Yes, this is exactly what I was looking for.
For me, the comparison is meaningful:
Your PSA was 13, mine was 10.5
~3 months post-SBRT, your PSA was 0.1, mine was 0.36
Your PSA was almost undetectable (< 0.1) from Oct2024 until now.
My RO told me in April2025 that I will probably on Orgovyx 8 mos. to a year. In July, when she saw my PSA 0.36, she said I need just three more months.Because my PSA was 0.26 higher than yours at 3 mos. post-SBRT, I will tell my RO that I prefer to continue ADT until end of March2026. (I started Orgovyx on March 26, 2025.)
Thanks again for the information you provided.
Vir
What is your Testosterone level. Mine dropped to 8. It was 65 on July 17, 2025. Fatigue is the main problem for me. "Fight through the Fatigue" is the mantra for us! "Be fierce with exercise" is another mantra for us!
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Hug
1 ReactionMy T was 0.4 in July. My T was not tested pre-SBRT. I will be 69 on Nov 27. With such low T, I am hoping that my PSA will be undetectable by October.
The drug is working well for you to bring down your Testosterone. What kind of exercises you do daily and how do you feel? I lift weights 3 times a week and do some aerobic activities including walking daily.
Fatigue is a big problem for me. But we have to exercise!
Absolutely! Hormone Therapy will try and zap you of all energy. Fight through it. Like you, I walk nearly every day(about 3 miles) at a decent pace. I also do resistant band workouts for the muscles. I'm not giving into this!! Keep it rolling!!!
Doug
Actually, fatigue from hormone therapy varies. I’ve been on ADT for almost 9 years and I’ve never really had a fatigue problem. I’ve had a lot of other problems from it, but not that.
People must Exercise and do weight training when on ADT. Like you, I walk twice a day on the track every day and go to the gym three times a week.
One of the first things people notice when they start ADT is that their stomach muscles weaken and they get a belly. I do a lot of situps when I go to the gym, I think it helps.
Just some ideas.
Jeff,
What is your Testosterone level for not getting fatigue?
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Hug
1 ReactionMy testosterone level is less than five And has been for almost 9 years. Not everybody gets fatigue, I am one of the people that doesn’t.
Thank you jeff for that information.