I have been advised (by my Uro and Radiation Oncologist and Medical Oncologist) that I need to get some local control as I haven't had a radiation to the prostate before. I was diagnosed Gleason 10 2.5 years ago and I've been through chemo (Docetaxel) ADT (Zoladex implants 3 monthly). Since January I've also been on Enzalutmide/Xtandi as PSA was rising with Zoladex alone, so was declared castration resistant. The Xtandi has managed to keep my PSA in check (it's currently 0.67 and stable) but I have a lot of cancer in the prostate which is causing issues. I've had a TURP recently and the Uro is concerned that it may grow through to my rectum, which is obviously not good, so the radiation is hopefully going to prevent this from happening. I'll be getting Cyberknife 90 Grays, over 5 fractions. I had to get gold seed markers put into my prostate by the Uro. This was supposed to be a simple procedure, but it was pretty much hell, with lots of blood, swelling pain etc. It's 4 days since I had the seeds put in and things are settling down. The first radiation dose will be in just under a week's time.
I'm just wondering if anyone else has been down this path? My prostate hurts like hell (apparently due to the high grade cancer rather than prostatitis) and I hope that the radiation will kill the cancer cells and bring some pain relief, but I'm also fearful the pain and other urinary issues could get worse, at least in the short term. The TURP and poking around embedding gold seeds has aggravated the problem and I'm now on some pretty heavy duty pain killers to manage the pain levels.
I should also add, I've had spot radiation to some bone mets previously and I've responded really well. Good pain relief and CT scans show those treated areas have responded well.
Thanks in advance.