Interested in speaking to people have had the prostectomy and post op Hormone therapy and radiation

My heart sank reading your note…what was your Gleason score before your prostectomy? I hope the best for your treatment?

@phooverjr

As Old Salt stated, your case is not uncommon at all. In fact, there are many of us here who have experienced PCa recurrence.

I had a radical prostatectomy, and my first PSA test was 0.05. My PSA grew to 0.11 in a year, and I underwent hormone (Lupron and Casodex) treatments for 6 months, along with IMRT radiation treatments for 38 sessions and a total of 68 Grays on the prostate bed. At the end of the treatments, my PSA was undetectable.

After 30 months of undetectable PSA (every 3 months), my PSA started rising again, and over the next 3 years, it rose to 0.98, at which time I had a PET scan, and PCa was found in my left pubis bone. I underwent hormone (Lupron and Zytiga and Prednisone) treatments for 2 years, along with SBRT radiation treatments for 3 sessions and 30 Grays on the pubis bone. At the end of the treatments, my PSA was undetectable.

At 22 months after the 2 year hormone treatments ended, my 3 month PSA tests have remained undetectable so far, the most recent test result being last Wednesday. There is no question in my mind that PCa will eventually rear its ugly head again in some part of my body, and I will consult with my Oncologist regarding the best and most effective available treatments at that time.

As you can see, for many of us, PCa is in fact a journey, and not a one-and-done occurrence. Managing quality of life along this journey become a primary guiding factor as the years go by. I wish you the best of outcomes on your PCa journey.

@Wheel

Thank you for your follow-up questions. It shows your interest in the whole story regarding my PCa journey. I do have a few threads here detailing my experiences, and I will post the URLs, if that would be helpful to you.

Incontinence - My instructions to my surgeon (2200+ robotic surgeries) who performed my prostatectomy was to focus on removing all of the cancer cells as my #1 priority. Anything else was secondary. As a result of my prostatectomy, I have been 100% vertically incontinent ever since, and I worked on the Kegels for over a year post-prostatectomy to the point where I think I could have cut a piece of rebar off with my anal part of the sphincter muscle, but nothing on the urinary side, before giving up on continence. I subsequently had an AUS 800 artificial sphincter implanted in me. Even with that implant, I have worn Depends ever since, and will do so until my last day.

ED - I've been unable to sustain an erection ever since my prostatectomy, even though my surgeon was able to spare one of the two related nerve clusters. I've tried Viagra and Cialis without any success, and I have no interest in penile implants, injections or jellies. The reality is that I can still sexually arouse my wife without resorting to penile penetration, something that many couples in related situations do not fully explore.

First Radiation Therapy - I was fortunate to have my IMRT radiation sessions first thing in the morning, so my treatments did not effect my work. I did not feel the effects of radiation, until the third week of treatments, when I suddenly felt quite fatigued, and I felt fatigued through the end of the treatments and the 3 months following, though it did not negatively impact my everyday life. One long term side effect that I attribute to the radiation therapy is that my bowel movements now occur first thing in the morning (used to have only one per day), and for the first bowel movement, there is such an urgency that I have less 5 minutes to make it to the bathroom, or I will poop my pants. I had a few bouts of Gross Hematuria in my bladder for the first two years after radiation therapy, due to inflammation of the bladder inner wall, but those symptoms subsided.

First Hormone Therapy - I had all of the side effects from the hormone therapy that have been posted here on numerous threads on this topic. The only side effect that significantly impacted me was the hot flashes, as when one occurred, I would sweat profusely from my head, lower arms, and chest, such that I had to wear a head sweat band to stop the sweat from running into my eyes. These side effects went away about six months after the hormone treatments ended.

Second Radiation Therapy - I've had no noticeable side effects from my 3 SRBT radiation sessions. A complete nothing burger.

Second Hormone Therapy - I had all of the side effects from the hormone therapy that have been posted here on numerous threads on this topic. The one major difference is that following the end of the two year hormone therapy, my Testosterone level has increased only marginally, so my hot flashes still continue, even two years after the end of the hormone therapy. There is a good chance that my Testosterone level will never increase significantly beyond where it is now (38).

Let me know if the above is helpful to you.

It looks like the originator of this thread hasn’t been back…

I'm scheduled for prostatectomy 12/2/24…Syracuse, Dr. Po Lam.

After reading your stories, it saddens me to confuse…I do not have the endurance to fight a disease that the treatments castrate you, leave you incontinent, then add ADT therapy which strips you of who you are. I'm 62…if I am lucky to get back a sex life with injections, control of my bladder with some shields…combined with, hopefully 5 years—-Thank you God. It's horrible thought…I find I may have to seek counseling….and seek out a Dr. in Vermont that let me Die with some Dignity.