New CA Diagnosis

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Comments

  • hopeful and optimistic
    hopeful and optimistic Member Posts: 2,333 Member
    Josh123 said:

    colonoscopy before radiation

    Hi,

    Did you hear this from a doctor? Please cite a specific source. What is the reason? That radiation might excacerbate any existing condition? Or is it only to have a baseline? And if anything is found in the colon, then what? 

    Thanks

    .

    "We recommend screening colonoscopy for men who have not had CRC screening within the 3 years preceding prostate cancer diagnosis before radiation therapy to avoid unnecessary rectal biopsies and the associated risk of major complications."

  • MK1965
    MK1965 Member Posts: 231 Member
    edited May 2021 #43
    Josh123 said:

    I'm so sorry to hear your

    I'm so sorry to hear your story. I will certainly take it into account for my decision. Did/do you have any other conditions that might have caused this bad result?

    I hope you are able to find other things in life to keep your spirits up.

    And by the way - and please excuse me for asking - you say that you have never recovered erectile function, so does that mean that the 2 inches lost are from flacid state, or is that from a semi-erect-but-not-hard state?

    Wishing you the very best possible 

    Josh,

    Josh,

    For flaccid I did have anything left, hole penis pulled inside, only half glans was visible. In erect state with Trimix, which it was only partial at the best 50-60% of my normal before RP; my penis barely reached 4 inches from 6.5 inches lenght for my all adult life.

    Before RP, I was not taking any medication, I was very healthy and very fit guy, non smoker, non drinker and not overweight. Never experienced ED before RP and never tried any of ED meds because I never needed them. My eating was also healthy.

    I tryed everything possible to recover my erectile function with no avail. Used cialis, viagra, VED, TRIMIX and BIMIX.

    Trimix was giving me partial erections which did not improve with dose increase and was very painful for up to 24 hours after injecting.

    Life without prostate bigly sucks.

    Wish you good outcome with whatever you choose. My non recovery is just other side of medal.
    MK

  • Josh123
    Josh123 Member Posts: 11 Member

    .

    "We recommend screening colonoscopy for men who have not had CRC screening within the 3 years preceding prostate cancer diagnosis before radiation therapy to avoid unnecessary rectal biopsies and the associated risk of major complications."

    Thanks for the citation.

    Thanks for the citation. Where is it from, if you have recorded the source.

    What "unecesssary rectal biopsies" might be made, and would they be because of suspicious finding arising on account of having undergone prostate radiation? And what are the "associated risk of major complications"? Specifically because of the prior radiation or does this refer to the general risks of colonscopy? It's very unclear from the wording.

    Thanks

  • hopeful and optimistic
    hopeful and optimistic Member Posts: 2,333 Member
    edited June 2021 #45
    Josh123 said:

    Thanks for the citation.

    Thanks for the citation. Where is it from, if you have recorded the source.

    What "unecesssary rectal biopsies" might be made, and would they be because of suspicious finding arising on account of having undergone prostate radiation? And what are the "associated risk of major complications"? Specifically because of the prior radiation or does this refer to the general risks of colonscopy? It's very unclear from the wording.

    Thanks

    .

    Josh, As I understand there can be complications in radiation that are exasperated by having fissures in the colon. Additionally colon cancer may exist. Due to radiation it is harder to do a colonoscopy after the procedure. 

    Here is general information that I got from pubmed , a medical resource site.

     Radiotherapy damage to bowel




    Radiotherapy increases the risk of bowel wall stricture formation, adhesions, fissures, severe bleeding and bowel wall perforation. Surgeons should be alert to the fact that PRD may be the cause of acute or sub-acute small bowelobstruction.Nov 27, 2015



     

     

     

  • Winnie155
    Winnie155 Member Posts: 1 Member

    Hi, I am new to this forum and I live in the same area as you. My husband recently diagnosed with PCa and I am wondering if you can share who is your Urologic Oncologist as we are looking for one. Thanks so much for your help.

  • J69
    J69 Member Posts: 34 Member

    Winnie, you are posting on an old thread. You may want to start a new topic, to get the most up to date information.

  • RonJT
    RonJT Member Posts: 39 Member

    Latest update. I hope this helps some of you with the decision making process. Be happy to answer any questions.   I am continent and still able to perform sexually albeit slowly and with help from vitamin V. I am 75 so can't complain too much.

     Age 68 at diagnosis 

    2/2009 PSA 4.3 Biopsy negative

    2009-2016 PSA climbed from 4 to 6

    DRE all negative

    2/2016 PSA 7.5

    Ultrasound and DRE indicate nodule

    Biopsy with 6 of 12 cores pos

    Two 4+3 Four 3+3

    5/11/16 Gold Markers Placed

    5/5/2016 on Lupron and Casodex

    6/8/16 Lupron Dose #2

    7/2016 IMRT started 25 fractions 45Gy total

    8/4/16 Flomax 0.4mg started

    Cyberknife boost 8/9/16 2 fractions 19 Gy total

    Weight down to 128

    9/1/16 Last Dose of Casodex

    11/18/16 Hot flashes end; getting up 1-2 x per noc

    12/6/16  PSA 0.1 T-Level 372

    3/6/17   PSA 0.2 T-level 288

    7/10/17  PSA 0.2 T-level 308  

    11/16/17 PSA 0.2 T-level 311

    6/13/18  PSA 0.2 T-level 202

    9/21/18 psa <0.1 T-level 225

     5/28/19 PSA <.01 t-level 192

    2/8/20 PSA <0.1 t-level 244

    7/8/21 PSA <0.1 t-level 264

    3/24/22 PSA<0.1 t-level 279

    Good luck.