This Journal #2 is a companion to my pre-treatment Journal #1 called “My Brachytherapy Cancer Treatment Decision Process” found via the following link: http://www.inspire.com/groups/us-too-prostate-cancer/journal/my-brachythera py-cancer-treatment-decision-process/?ref=as.
I had a biopsy in November 2010. Before treating the prostate cancer, my Gleason Score was 3+3=6. My Prostate Volume was 39cc. Five of 12 biopsy cores were cancerous. Percent of cancer in each core: 70%, 70%, 60%, 40%, and 30%. All of the cancerous cores were from the LEFT side of my prostate gland and NONE of the cores from the RIGHT side were cancerous.
As described in Journal #1, my prostate cancer was treated with radioactive seed implants (“Brachytherapy” / “BT”) on April 13, 2011.
0.5 October 2013 (30-month follow-up)
0.8 April 2013 (24-month follow-up)
0.7 October 2012 (18-month follow-up)
0.6 April 2012 (12-month follow-up)
0.5 December 2011 (6-month follow-up)
0.7 October 2011
1.4 JULY 20, 2011 (3-month follow-up)
7.2 April 13, 2011 (Brachytherapy Treatment)
4.1 February 2011
3.3 October 2010 (Dr. prescribed a biopsy)
2.5 April 2010
3.8 October 2009 (Dr. prescribed strong antibiotic)
1.8 April 2009
2.1 October 2008
1.9 October 2007
1.8 October 2006
For me, making the out-of-town trip to Scottsdale AZ for treatment and follow-up have been well worth the effort. Dr. Grado’s primary focus was in 3 areas: PSA, DRE, and Side effects.
PSA was 1.4 which he was pleased with. He expects my long-term PSA to eventually reach less than 0.5.
DRE (digital rectal exam) was completely normal.
SIDE-EFFECTS: While it is apparently more the norm to have some level of continuing frequency, weak stream, difficulty emptying, burning, and/or getting up at night to urinate – in my case, any such side effects disappeared rather quickly. Slight burning with urination lasted a couple of weeks. Frequency and getting up at night lasted a few days. Bowel movements have been pretty much normal except for an occasional clear mucous. Blood in the urine continued for a few weeks. Blood in semen continues at this time. No problems with sexual function but first few ejaculations were painful.
Since my side effects were gone after the first couple weeks, I was able to make plans (during weeks 7-11 after the BT), to travel extensively without incident.
Dr. Grado explained that he normally does not suggest decreasing the daily Flomax at the 3-month mark but said I could I try taking the Flomax every other day for 2 weeks to see how it goes.
6 MONTH FOLLOW-UP
At 3 months, I decreased the Flomax to every other day without any negative results. I stopped taking it entirely by the 6 month mark. Getting up several times a night to urinate has never been a symptom for me - either before or after Brachytherapy. DRE was normal. Somewhat-achey orgasms seem to be decreased if Viagra is taken beforehand. Plus the achey pain seems to be less and less as times goes on. Dr. G says that he expects such achey pain to eventually go away.
14-16 MONTHS FOLLOW-UP
Apparently it is typical to experience pain in the anus about a year after BT. I experienced this, along with urination pain and frequent loose bowels, which only made the anus more raw. Antibiotics for possible infection didn't help. Steroid foam/suppositories for anal pain didn't help much either. Advil was the most help. Pain symptons completely disappeared after about 6 weeks.
I realize there is no hard and fast scientific proof about diet and supplements. But after reading materials by Meyers and Sholz I figure it can't hurt and so I have been fairly faithful about the following since January 2013:
No Red Meat or Dairy – Lots of fruits and vegetables, chicken, fish
Vitamin D3 2000 IU day
Lycopene 10 mg with each meal
Omega 3 Fish oil 2000 mg twice a day
Selenium 200 MCGs
Vitamin E 200 IU day
Pomegranate Extract 200 Mg
Cialis 2.5 Mg
The increase in PSA from its low point of 0.5 to 0.8 was obviously concerning. My oncologist wondered about a recurrence until he saw that 2 follow-up PSA tests were also 0.8. Dr. Grado ended up being correct that it was the mysterious, but common, PSA "bounce".
PSA is back to it Nadir (low point) of 0.5
Edited October 21, 2013 at 6:07 pm