In the last quarter of 2013 I began having erection and urination issues, which the urologist treated as BCH. Then in Feb. 2014 in my regular annual physical my PSA came in @ 5.0 and I had discussions with the urologist again and we decided to closely monitor, but took no tests. In July 2014 I began to experience back pain after a hilly round of golf. My PP and I both thought it was an inflamed sacroiliac. This condition came and went and in January 2015 I finally had an X-ray that showed something in the pelvic area. The PP initially thought it might be Pagett's disease, but the blood panel came in with a PSA of 58. CAT and PET scans showed lesions on pelvis and L5, and the biopsy came in with a Gleason of 8 (4+4) and we went straight to hormone therapy (Lupron). The scans also showed enlarged nymph nodes and fuzzy spots on the liver.
I went to LA to get a second opinion, and it was recommended that chemo would be a good idea because of the lymph node and liver issues. So In July I started a 6 cycle x 3 week infusion regiment of Doxetaxel (Taxotere), and Xgeva (to address the bone lesions). At this time PSA was down to 2.74.
By the end of the Chemo, the lymph nodes were back to normal and the liver spots were gone, and PSA was 0.67.
By December 2015 PSA was 0.53, but in February it was 1.09 and I started on Casodex. March 8th it was back down to 0.95.
I have some typical symptoms of hormone therapy, libido, hot flashes, a little weight gain, but the back pain is presently gone, and I am running and playing golf without trouble. I am continuing with the Lupron (every four months), the Xgeva (every month) and Casodex (daily).