I'm newly diagnosed with localized pca. Not too bad I have 3-4, 3-4, 3-4 and 3-3, 3-3
out of 12 cores. They suggested watch and wait but with the 7's, even with a gleason
of 3.6 I want to treat the condition now. Tall Allen seems to like SBRT and what I have read
it is good for localized psa. The radiation oncologist I had a consultation with says
it is good, done in only 5 visits instead of 30 or more with proton therepy which the
doctor says is no better, data wise then SBRT. I worry about GI and urinary obstruction problems down the road. Has anyone had any experiences with this type of treatment?
What problems down the road? The latest report shows:
By five years after SBRT treatment, the late toxicity outcomes were reported:
No grade 3 (serious) rectal side effects
Grade 2 rectal side effects in 2%
Grade 3 (serious) urinary side effects in 4 of the 309 patients (1.3%)
Grade 2 urinary side effects in 38%
pcnrv.blogspot.com/2016/09/...
I had a flare of urinary frequency one year after treatment but none since. No late term rectal symptoms, and no erectile dysfunction. I had SBRT 8 years ago.
very encouraging Tall Allen. Thanks, I am going to do the SBRT.
What is your opinion of Focal Laser Ablation? FLA seems to be becoming more effective as the doctors performing it gain experience.
Also your opinion on HIFU, high intensity focal ultrasound? Is it becoming a treatment that is now being supplanted by FLA?
Currumpaw
My opinion is that there is not enough long-term data to support focal therapy. There are many outstanding issues discussed here:
pcnrv.blogspot.com/2016/12/...