robotic surgery for prostate cancer

really let that be they say that about every single anti depressant as well if that were true. It’ll be a lot of suicides they have to list that is one of the side effects thoughthey are nasty that’s for sure.

@sbenjmn55 I've been on ADT twice, once for 6 months, and once for 2 years, and I'm still here. I never had any suicidal thoughts. Yes, with estrogen being your dominant hormone during ADT, you do and say some things that you would never believe that you would do or say with testosterone being your dominant hormone. Yes, I shed some tears during movies, something I've never done since childhood, not even with the passings of my mother and father. And, in the big picture, though my quality of life was altered during ADT, it was never reduced to the point of where it became an issue.

In addition to ADT, I've had surgery, IMRT, and SBRT. My PCa is locally metastatic, and it is currently in remission. If you wish to see my PCa journey, you can see it at this link:

Regarding your original question, SBRT is a nothing burger. I had SRBT on a lesion on my pubic bone in 2021, which required 3 treatments, and I had no adverse effects at all, not even fatigue (common in IMRT). If you are thinking of going in that direction (CyberKnife), my non-medical opinion is that you should have no concerns at all.

@sbenjmn55 , sometimes I write in a brusque manner. It's just the way it is. I should have placed a 😉 at the conclusion of my previous post.

Thank you for fleshing out your story.

Any hormone imbalance, whether naturally occurring or caused by treatment, will have an effect on our minds and bodies. To think that it won't is fallacy, but it affects different people in different ways. Crying like a baby isn't even a side effect in my books. It is a natural human characteristic and I simply cannot stand the Big Boys Don't Cry brigade - all they're doing is displaying their toxic masculinity. Yes, ADT might make things worse, but so what.

Going back 50 years, when one of the standard treatments was ADT via estrogen, not many of the side effects experienced with the more modern ADT hormone medications were common. Estrogen was equivalent in its effectiveness to reduce testosterone to castrate levels compared to the modern agonists and antagonists, but it also eliminates hot flashes and prevents osteoporosis. It did lead to increased cardio issues, but that was when taken orally. Nowadays it is taken trans dermally and there are no issues in that regard. It must be safe; look how many menopausal women take it! It should make a comeback as the main form of ADT in my opinion.

I found this book to be full of good information too: https://www.springerpub.com/androgen-deprivation-therapy-9780826184023.html

I had SBRT (on Cyberknife equipment) , 3 sessions of 6.5 Gy, about ten years ago. It was part of a 'triple play' which included IMRT and ADT because of several Gleason 9 sites within my prostate.

I was advised to take alfusozin to help with urinary flow, but I didn't really need it. I was also told about fatigue after the third session. No big deal, really.

As must have been mentioned before, it's super important to have SBRT in a setting with lots of experience.