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Salvage radiation therapy after radical prostatectomy

Posted by samadhi @samadhi, Jun 15, 2024

Hello:
I had radical prostatectomy in 2020 but now PSA is high at 0.26 so radiation specialist recommended salvage radiation to prostate bed.

Can you share your experience with Salvage Radiation? Side effects to
1. Bladder
2. Bowel
3. Sexual function.

Thank you

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jeb0505 | @jeb0505 | 4 days ago
In reply to @michaelcharles "My radiation treatments were 37 sessions over almost 8 weeks; primary side effects diarrhea and anal..." + (show)
@michaelcharles

My radiation treatments were 37 sessions over almost 8 weeks; primary side effects diarrhea and anal discomfort/pain beginning about 4 weeks into treatment. Resolved completely about 2 weeks following completion of radiation.
My 2 friends seemed to have had similar experiences. I do not think that I have any discernable radiation side effects since treatments ended + 2 weeks.
The Orgovyx side effects were not pleasant, but mild to moderate. And substantially dissipated 4 - 6 mos after last pill.
Hope this is helpful; best wishes.

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When you say side effects of Orgovyx was not pleasant - can you elaborate? What were the S.E's?

REPLY
michaelcharles | @michaelcharles | 4 days ago

Jeb:
On Orgovyx, I primarily had diminished energy; 10 - 20% "power outage". My 45 min walk took 50 - 55 mins.

My main issues were related to my radiation treatment; I had severe proctitis.

Back to Orgovyx, I had a "snappy period" similar to female menopause. Hot flushes were relatively infrequent and minor. Although I would find myself stripping down to a T shirt while walking in 45 degree temps. I probably had some brain fog. Cannot recall because I had brain fog. Duh 🙄

There are a number of post sites describing ADT SEs.
But it seems that every man reacts differently; and the same. I just knew that I was not "me".

I do think that Orgovyx is the best ADT in its class, and when I need to take ADT again, I would choose it.

Best, Michael

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