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  • SRT decision, QOL concerns

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    Old 10-13-2020, 07:56 AM   #1
    JJPeabody
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    SRT decision, QOL concerns

    This is my first post, hello all, best of luck. I hope my personal stats show up with the post. Deciding whether doing SRT after RP, or only doing ADT alone to avoid incontinence worsening. Age 70, expectancy 10 yrs, PSADT 6 mths, PSA after RP .008 after 20 months .124. Using 2 pads per day, really concerned of increase in incontinence etc after SRT. SRT Procedure contemplating IMRT-IGRT. Maybe choose Intermittent ADT alone as option instead of SRT?? Thanks for any insights.

    Gleason 4+3=7. Extra-capsular ext. Neg margins, vesicles, LN. PSA after RP .008. After 20 mths .124.

    Last edited by JJPeabody; 10-17-2020 at 04:00 PM.

     
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    Old 10-13-2020, 03:49 PM   #2
    Southsider170
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    Re: SRT decision, QOL concerns

    Since you are still incontinent almost 2 years since your prostatectomy, its getting time to consider surgical intervention. Usually this resolves itself during the healing process by this point in time, but there are definitely therapies and surgical solutions.

     
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    Old 10-13-2020, 04:03 PM   #3
    JJPeabody
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    Re: SRT decision, QOL concerns

    Thank you for your reply Southsider. Actually I can live with my mild incontinence and will see physical therapist re kegal/pelvic exercises. My real concern now is whether to risk salvage radiation therapy, roughly 45% chance of success, and worsening incontinence. If radiation fails I will still have to do ADT with likely worse side effects and weakened physical stamina from radiaton. Radiation Onclogist are pushing radiation ASAP.

     
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    Old 10-13-2020, 06:42 PM   #4
    Southsider170
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    Re: SRT decision, QOL concerns

    Quote:
    Originally Posted by JJPeabody View Post
    Thank you for your reply Southsider. Actually I can live with my mild incontinence and will see physical therapist re kegal/pelvic exercises. My real concern now is whether to risk salvage radiation therapy, roughly 45% chance of success, and worsening incontinence. If radiation fails I will still have to do ADT with likely worse side effects and weakened physical stamina from radiaton. Radiation Onclogist are pushing radiation ASAP.

    The technology for radiation has really improved over the years, as far as accuracy and reduction of side effects. The key is to have it done at a place with new equipment.

    If the radiation oncologist is anxious to do this, it usually means he thinks you can be cured and not need further treatments for this down the line. That's the best thing you can go for. No hormone treatment. If you think the RO can take care of this cancer once and for all, you should go for it.

     
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    Old 10-13-2020, 07:39 PM   #5
    Insanus
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    Re: SRT decision, QOL concerns

    The longer you wait the less effective the treatment. Get er done.

     
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