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HoLEP for BPH followed by SBRT several months later for 4+3 = 7 PCa. Is it preferable to do the HoLEP before the SBRT?
Diagnosed with BPH (80 cc prostate) and prostate cancer - Gleason 4+3 in 2 cores - less than 30%, 3+3 in 2 cores, benign in 8 cores. Stage T1c. PSMA-Pet no metastasis. PSA 8.8. Decipher 0.51. PSA density 0.11. Having HoLEP in May 2024 then SBRT several months later.
Diagnosed with BPH (80 cc prostate) and prostate cancer - Gleason 4+3 in 2 cores - less than 30%, 3+3 in 2 cores, benign in 8 cores. Stage T1c. PSMA-Pet no metastasis. PSA 8.8. Decipher 0.51. PSA density 0.11. Having HoLEP in May 2024 then SBRT several months later.
Bourbon2024
in
Prostate Cancer Network
6 months ago
what now failed R223
‘what now’ failed R223 My husband this week because of low Hb 83 had a blood transfusion + iron infusion. He has suffered ‘Proctitis’ rectal bleeding since having radiotherapy 2019 and although complaining to Oncologist, GP, Gastroenterologist had endoscopy (found Barrett’s disease and has difficulty
‘what now’ failed R223 My husband this week because of low Hb 83 had a blood transfusion + iron infusion. He has suffered ‘Proctitis’ rectal bleeding since having radiotherapy 2019 and although complaining to Oncologist, GP, Gastroenterologist had endoscopy (found Barrett’s disease and has difficulty
Janhpr
in
Advanced Prostate Cancer
1 month ago
Early 50s male, healthy till hypothyroidism my first few months experience of treatment
I don't usually share info on the internet, but as a lot of material out there is aimed at women or Americans (I mean no offence to either!) I thought I'd stay my experience so far. Diagnosis, what does it all mean, and treatment/first medications. DIAGNOSIS Late 2022 I saw a nurse as I was taking longer
I don't usually share info on the internet, but as a lot of material out there is aimed at women or Americans (I mean no offence to either!) I thought I'd stay my experience so far. Diagnosis, what does it all mean, and treatment/first medications. DIAGNOSIS Late 2022 I saw a nurse as I was taking longer
BobMcBob
in
Thyroid UK
1 year ago
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Minor psa increase again
Just over 12 months since adt finished. All clear at <0.01 2 months ago when it started to rise to 0.03 then 4 weeks later 0.05 now 0.07. Have Dr's app in 3 weeks which will probably be a referral back to oncologist. Do we need to wait until 2.0 then a PET scan or can I be proactive now? My adt was
Just over 12 months since adt finished. All clear at <0.01 2 months ago when it started to rise to 0.03 then 4 weeks later 0.05 now 0.07. Have Dr's app in 3 weeks which will probably be a referral back to oncologist. Do we need to wait until 2.0 then a PET scan or can I be proactive now? My adt was
Runner1957
in
Prostate Cancer Network
1 month ago
Still confused about PSA and Testosterone testing
I have been reading posts here for some time and there seems to be a split between those who only get PSA tests each time they go to their doctors and those that get both tests each time. I had a baseline testosterone test before Lupron and before radiation. I am now doing my 6 month follow up and
I have been reading posts here for some time and there seems to be a split between those who only get PSA tests each time they go to their doctors and those that get both tests each time. I had a baseline testosterone test before Lupron and before radiation. I am now doing my 6 month follow up and
Mgtd
in
Advanced Prostate Cancer
7 months ago
Anyone out there start Pluvicto at 85 or older?…Oncologist wants me to try but I’m Hesitant due to side effects possible…
I’m 10 years into the battle …Last 4 1/2 Metastatic….my oncologist wants me to try Pluvicto….Im feeling pretty good right now and can do most things…..I’ve had chemo and 78 proton beam treatments and also 7 months of BAT…He says I’ll tolerate it good and if not we can just quit….I know you just can’t
I’m 10 years into the battle …Last 4 1/2 Metastatic….my oncologist wants me to try Pluvicto….Im feeling pretty good right now and can do most things…..I’ve had chemo and 78 proton beam treatments and also 7 months of BAT…He says I’ll tolerate it good and if not we can just quit….I know you just can’t
Roxysdad
in
Advanced Prostate Cancer
1 month ago
Phase 1b: FOR46, a novel antibody-drug conjugate targeting a tumor-specific epitope of CD46, in combination with Enza in patients with mCRPC
"Preliminary anti-tumor activity was observed with PSA declines in 13/16 (81.3%) of evaluable pts, and a disease control rate (stable disease ≥ 6 months) of 41.2%" But side effects could be very hard on heavily pretreated patients https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.5066
"Preliminary anti-tumor activity was observed with PSA declines in 13/16 (81.3%) of evaluable pts, and a disease control rate (stable disease ≥ 6 months) of 41.2%" But side effects could be very hard on heavily pretreated patients https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.5066
Maxone73
in
Advanced Prostate Cancer
1 month ago
TRUST IN HEALTHCARE : free virtual conference for patients, friends and those you care about
Malecare and Prostate Cancer Research (UK) Virtual Conference: TRUST AND HEALTHCARE WEDNESDAY, JUNE 26, 2024 on Youtube.com/Malecare 12 PM ET to 6:10 PM ET (New York time) Register with your email for free at https://malecare.org/trust-in-healthcare Prostate Cancer Research (PCR) is a patient-centric
Malecare and Prostate Cancer Research (UK) Virtual Conference: TRUST AND HEALTHCARE WEDNESDAY, JUNE 26, 2024 on Youtube.com/Malecare 12 PM ET to 6:10 PM ET (New York time) Register with your email for free at https://malecare.org/trust-in-healthcare Prostate Cancer Research (PCR) is a patient-centric
Darryl
Partner
in
LGBT Cancer Community
1 month ago
DO YOU TRUST YOUR DOCTOR? Free registration at malecare.org/trust-in-healthcare
Malecare and Prostate Cancer Research (UK) Virtual Conference: TRUST AND HEALTHCARE WEDNESDAY, JUNE 26, 2024 on Youtube.com/Malecare 12 PM ET to 6:10 PM ET (New York time) Register with your email for free at https://malecare.org/trust-in-healthcare Prostate Cancer Research (PCR) is a patient-centric
Malecare and Prostate Cancer Research (UK) Virtual Conference: TRUST AND HEALTHCARE WEDNESDAY, JUNE 26, 2024 on Youtube.com/Malecare 12 PM ET to 6:10 PM ET (New York time) Register with your email for free at https://malecare.org/trust-in-healthcare Prostate Cancer Research (PCR) is a patient-centric
Darryl
Partner
in
Active Surveillance - Prostate Cancer
1 month ago
Should I do chemotherapy?
New here. I am 81 and was diagnosed last month with PCa metastatic to a few bones. Gleason 9. PSA 21 at diagnosis. Have been put on orgovyx and xtandi. Chemo was not mentioned. Reading some posts here I wonder if chemo would be an important option for me ? I will turn 82 In a few
New here. I am 81 and was diagnosed last month with PCa metastatic to a few bones. Gleason 9. PSA 21 at diagnosis. Have been put on orgovyx and xtandi. Chemo was not mentioned. Reading some posts here I wonder if chemo would be an important option for me ? I will turn 82 In a few
Simpson80
in
Advanced Prostate Cancer
1 month ago
Pfizer and Astellas' XTANDI® Approved by U.S. FDA in Earlier Prostate Cancer Treatment Setting
https://www.prnewswire.com/news-releases/pfizer-and-astellas-xtandi-approved-by-us-fda-in-earlier-prostate-cancer-treatment-setting-301991574.html
https://www.prnewswire.com/news-releases/pfizer-and-astellas-xtandi-approved-by-us-fda-in-earlier-prostate-cancer-treatment-setting-301991574.html
Maxone73
in
Advanced Prostate Cancer
8 months ago
Sterlings Reply
Please forgive the lateness but here it is:Four years after prostectomy my psa began to rise. I had eight weeks of radiation to the prostate bed. Psa returned to nondetectable for eleven years. Two years ago my psa began to rise at an alarming rate it was doubling monthly if not more. I started eligard
Please forgive the lateness but here it is:Four years after prostectomy my psa began to rise. I had eight weeks of radiation to the prostate bed. Psa returned to nondetectable for eleven years. Two years ago my psa began to rise at an alarming rate it was doubling monthly if not more. I started eligard
Praying2BHealthy
in
Advanced Prostate Cancer
7 months ago
Ckd with one kidney
I am on 10mg per day Amlodepine. My blood pressure readings are 123/65/63. With just one kidney, eGFR is 46 PSA is 0. 7ug/l and Creatinine is127umol/l. On food supplements for my kidney and liver from Japan. Very stable virtually no pain from area of kidney.
I am on 10mg per day Amlodepine. My blood pressure readings are 123/65/63. With just one kidney, eGFR is 46 PSA is 0. 7ug/l and Creatinine is127umol/l. On food supplements for my kidney and liver from Japan. Very stable virtually no pain from area of kidney.
Amsaved
in
Kidney Disease
1 month ago
Dad's PSA now 1800..nothing works..Is this the end??
Hey all, It pains me to write this as I'm probably scared to hear the truth. I've posted a few times, but this time, it's different. Dad was in hospital for a spinal cord compression - new activity on c3, new mets to spine and PSA soaring to 1800. Those dreaded words, "all options have been exhausted
Hey all, It pains me to write this as I'm probably scared to hear the truth. I've posted a few times, but this time, it's different. Dad was in hospital for a spinal cord compression - new activity on c3, new mets to spine and PSA soaring to 1800. Those dreaded words, "all options have been exhausted
kikinini
in
Advanced Prostate Cancer
1 month ago
Does orgasm return post-ADT
I’m into my third month of ADT and have completely lost the ability to orgasm. I am LIVID. I was NEVER told of this side effect. In fact, I was told I’d likely have ED but orgasm would still be possible. Which is an outright lie. Has anyone had the ability to orgasm return after discontinuing ADT or
I’m into my third month of ADT and have completely lost the ability to orgasm. I am LIVID. I was NEVER told of this side effect. In fact, I was told I’d likely have ED but orgasm would still be possible. Which is an outright lie. Has anyone had the ability to orgasm return after discontinuing ADT or
PrettyUnhappyGuy
in
Prostate Cancer And Gay Men
1 month ago
Dental Issues with Finesteride
I am 7 years post full gland HIFU surgery. Quality of life remains good. I've been off ADT all this time. PSA has been slowly rising and hit 2.8. My urologist put me on finesteride. It prevents the conversion of T to DHT. Five weeks after starting on it I experienced an onslaught of dental problems.
I am 7 years post full gland HIFU surgery. Quality of life remains good. I've been off ADT all this time. PSA has been slowly rising and hit 2.8. My urologist put me on finesteride. It prevents the conversion of T to DHT. Five weeks after starting on it I experienced an onslaught of dental problems.
fast_eddie
in
Advanced Prostate Cancer
6 months ago
xtandi failing?
In September last year my PSA was 0.06. Three months later PSA was 0.09. I asked my doctor if xtandi was failing. He told me not necessarily, once your PSA reached its lowest point, it tends to go up and down before it settles down. He told me they would check my PSA in six weeks, six weeks later
In September last year my PSA was 0.06. Three months later PSA was 0.09. I asked my doctor if xtandi was failing. He told me not necessarily, once your PSA reached its lowest point, it tends to go up and down before it settles down. He told me they would check my PSA in six weeks, six weeks later
Echotango51
in
Advanced Prostate Cancer
6 months ago
Brachytherapy boost HDR vs LDR +/- ADT
A bit of my background: 50 years old, Gleason score of 4+3, a PSA of 11, decipher is low, and possible extracapsular extension. 1) I know what LDR and HDR do, but what are the differences in terms of their long-term side effects? 2) Should I include ADT for a better outcome and what percentage improvement
A bit of my background: 50 years old, Gleason score of 4+3, a PSA of 11, decipher is low, and possible extracapsular extension. 1) I know what LDR and HDR do, but what are the differences in terms of their long-term side effects? 2) Should I include ADT for a better outcome and what percentage improvement
Infamous9597
in
Advanced Prostate Cancer
1 month ago
Importance of ADT
Are there any good outcomes without using ADT ( hormone therapy)? I delayed it for a couple of years with bad results. My history -- [u]
2021
[/u]: Age 78. PSA was 7.79, Gleason 4+3=7. Small lesion in prostate, with perineural invasion. Had 20 IMRT for prostate. No ADT. [u]
2022
[/u]: PSA
Are there any good outcomes without using ADT ( hormone therapy)? I delayed it for a couple of years with bad results. My history -- [u]
2021
[/u]: Age 78. PSA was 7.79, Gleason 4+3=7. Small lesion in prostate, with perineural invasion. Had 20 IMRT for prostate. No ADT. [u]
2022
[/u]: PSA
vintage42
in
Advanced Prostate Cancer
7 months ago
EBRT - Is it the right thing and what to expect?
After DX in November 2018 with Stage IV and Gleason of 5+4 and 4+5, and 5 years of ADT of Lupron (then Orgovyx), prednisone 5mg, and Zytiga 250mg with low fat breakfast, my PSA stayed stable at 0.4 or 0.5. At end of 2013, PSA started rising to latest value of 0.84. Had PSMA PET Scan March 5, 2024
After DX in November 2018 with Stage IV and Gleason of 5+4 and 4+5, and 5 years of ADT of Lupron (then Orgovyx), prednisone 5mg, and Zytiga 250mg with low fat breakfast, my PSA stayed stable at 0.4 or 0.5. At end of 2013, PSA started rising to latest value of 0.84. Had PSMA PET Scan March 5, 2024
JazzMan42
in
Advanced Prostate Cancer
4 months ago
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