Raising PSA with 6 months of RALP

[Papillon2]

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.

[Tall_Allen]

It sounds like a good plan.

[Papillon2 in reply to Tall_Allen]

Thanks much.

[tango65]

it is a good plan based in the SSPORT trial results

thelancet.com/journals/lanc...

[Papillon2 in reply to tango65]

Thanks, my friend.

[tango65 in reply to Papillon2]

Best of luck!!

[London441]

His low Gleason score and volume are very favorable. You have reason to be very optimistic.

[Papillon2 in reply to London441]

Thanks. Will keep sharing. We are off to see the Wizard!

[Hidden in reply to Papillon2]

Good looking out for him! 💪👏👏👏👏❤️❤️

[Cooolone]

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!

[Papillon2 in reply to Cooolone]

Thanks friend. The RO agreed. The ADT starts after PSMA-Pet.

RO-1 ............ Nurse-0.

👊👊👊

[Cooolone in reply to Papillon2]

👍🙂

[MateoBeach]

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. 👍👍

[Papillon2]

Outstanding!

[TJGuy]

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.

[Papillon2 in reply to TJGuy]

Tomorrow is our last day. We took 20 billion every day. No SEs.

[TJGuy]

Glad to hear your treatment went well

[Mojar]

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. 👍

[Papillon2]

Good luck