Hi guys/ladies. I am writing this post for my son. We need your thoughts. He is a 49 yr. old male, who had RALP for pc on 3/7/22: Path : staging, pT2, pN not assigned (no nodes submitted); gleason 3+4=7, patt. 5 (less than 5%) Tumor Quan. 5%; multifocal; neg. epe; pos. sur. margin at left apex. (unifocal, limited,0.1cm.(1mm). gleason 3+3=6 at margin. Neg: LVSI, PNI, SV. Now PSA raising within 6 months of surgery: 5/28 (uPSA .061); 5/30 (reg PSA .07); 6/25 (uPSA .078); 7/18 (uPSA 0.104) On 7/22/22 met RO. RO Recommends SRT whole prostrate bed + pelvis LNs. w/ IMRT or VMAT (over 33 treats) plus 6mons. ADT. PSMA-Pet sched. 8/19/22. ADT sched. to start @ 8/20/22. Simulation and SRT sched to start thereafter. We would greatly appreciate any views, tips, pointers or opinions from any interested party. Many Thanks.
Raising PSA with 6 months of RALP - Advanced Prostate...
Raising PSA with 6 months of RALP
it is a good plan based in the SSPORT trial results
His low Gleason score and volume are very favorable. You have reason to be very optimistic.
Why would PSMA-PET scan take place post ADT? With such a low G score and otherwise, why wouldn't they want to see what's going on without obfuscated results due to suppressing the PCa with androgen drugs...
Curious for others to chime in!
I find that plan to be optimal treatment. When PSA is that low, 6 months of adjuvant ADT, rather than 18+ months appears sufficient. Verify the treatment plan is for adequate dosing to PLN fields extending to aortic bifurcation. 👍👍
Outstanding!
Take probiotics like CVS 20 billion dose prior to and throughout radiation to protect lining of intestions.
Stop taking any anti-oxidants during radiation.
You need to drink water to fill the bladder for each session. Exactly the same each day.
Get two 20 oz tall bicycle water bottles. For me I drank the first bottle over 15 mins beginning 45 mins before my radiation start time. Then I sipped the second over the next half hour drinking about 3/4 of it. That filled my bladder.
Exactly the same each day.
Glad to hear your treatment went well
We are almost same . Was also diagnosed at age 49 psa 7.41 gleason 3+4 pt3b . Had prostatectomy and adjuvant rt. Psa undetectable since rt for 2.5 yrs. 👍
Good luck
Rising PSA 1 year after radiation and 6 months after Lupron
Rising PSA after RALP MSK 8/16/18 Eastham
Three months after RP to test PSA?
My first post. Rising PSA After Surgery. 
Husband is Stage IV Metastatic to Bones with Rising PSA
