Dec 28, 2012 - 12:51 am
I am currently recovering from my DaVinci RP attempt. Had surgery on 12-20-12.
I have updated some info here that was asked about and some that was left out. 2012-12-28
PSA 2.6 2-11 annual physical
PSA 6.23 2-1-12 annual physical
90 day followup to determine if biopsy warranted
PSA 5.4 5-1-12
Biopsy 1 of 12 cores + < 5% Gleason 3+3=6
Diagnosed PCa 6-15-12
PSA 7.62 8-31-12 free psa .46
Started on Lupron 9-14-12 monthly until surgery
PSA 5.96 10-11-12
My urologist referred me to an oncologist for a consult who went over all the treatment options and suggested I see a surgical specialist at the university cancer center as the first option. The surgeon left the choice to me and said I would do well with either treament radiation or surgery, that is if the surgery could be completed. He said he could not tell until in there. The surgeon had to abort sugery due to the fact that I had a prior accident (2005) that caused crushing fracture of the pelvis R side area. So, due to the internal adhesions and scarring he was unable to get to the prostate. It became adverse risk/reward scenario with possible poor quality of life outcome, doing more harm than good. He was a highly qualified surgeon with a vast experience level.I respect him and thank him for giving me his best shot.
My question now is what treatment to follow up with. We have a very good local Tomography Unit that does IG/IMRT with 4D CRT specs given below.
TomoTherapy Unit - This treatment system integrates optimized planning, daily CT imaging and helical IMRT treatment to provide precise, continuous radiation therapy from 360 degrees
Conformal Radiotherapy - Using a 24-slice CT simulator, we design a precise treatment plan by creating a three-dimensional model of the patient, tumor and surrounding normal structures. Multiple radiation beams are then positioned and customized exactly to the treatment area. Our CT scanner is currently the only one in Kansas capable of four-dimensional CT scanning. This added dimension in scanning provides important information on tumor movement during the normal respiratory cycle. This information enables our radiation oncologists to tailor margins around the tumor to account for movement
or about an hour away is a CK unit. I have been told that CK is no better than the IG/IMRT and may in fact cause more collateral damage due to the higher per treatment rad doses.
My main concern is of course killing all the cancer but also colon burning/damage. I read someone had a clinical trial for a gel spacer inseerted between prostate and colon. Sounds like the perfect solution in either treatment.
Opinions on the CK versus IG/IMRT ?
PS. I hope I got all the terminology and acronymns - Letters correct