Thank you!

[Smallfall]

I want to thank the members of this group, especially Tall_Allen, for the advice and support I've received the last couple of years. After a failed trial of HIFU, with a resultant steady increase in my PSA, I had another biopsy done June of last year. The report was 8x 3+4, 1x 4+3, and 1x 4+4 out of 12 cores. My urologist recommended EBRT and 2 years of Lupron. Several members of this group offered suggestions; Tall_Allen recommended either SBRT or HDR brachy with EBRT. I followed his suggestion of using Dr. Hsu, at UCSF, for the HDR brachy, and I couldn't have been happier with this Dr. , facility, and procedure. After firing my first RO, I had IMRT done with Dr. Wahlen, at Enloe Cancer Center, Chico, Ca. He was willing to follow Dr. Hsu's treatment recommendations, including only 6 months of Lupron, and everything was finished by 12/21/20. I just got my first PSA, .05, and couldn't be happier. I know this isn't the end of it, but I'm feeling a great deal of relief...and gratitude. Thank you all!!

[Justfor_]

And your totalT (Testosterone) at the time of PSA was?

[Smallfall in reply to Justfor_]

I only did PSA.

[vanh]

Great post! Glad you are doing well. I have my appointment for Lupron on Monday 8/9/21 and 45 Radiation treatments 2 months after. I found out that my insurance may cover HIFU, reading your comments maybe HIFU is not the way to go, just wanted anything less invasive, my Gleason is 4+3=7 15 PSA. I am not sure if Lupron would go with HIFU if my Dr recomends it.

[Smallfall in reply to vanh]

I suggest you check to see how much of HIFU your insurance covers; Medicare covered the surgery center only. Also, if I were going to get HIFU again, I would ablate the whole gland rather than just half. Good luck with whatever you do!

[vanh in reply to Smallfall]

Thank you for the advise, it is greatly appreciated! it is hard to find some kind of chart about available treatments and how effective they are, I am just plain scared. I will post my experience with whatever treatment I get, just like you shared yours. Thank you again.