Radiotherapy side effects
Posted , 10 users are following.
I have prostrate cancer which is contained in the prostrate. My PSA has reduced from 6 to 0.2 over six months of hormone treatment. I am trying to decide whether to have radiotherapy but my first thought is not to, due to the potential side effects. I have had advice and opinion 'till it's coming out of my ears, but none of the advisers have actually had the treatment. Is there anyone out there who can give an honest opinion based on experience?
0 likes, 28 replies
barney34567 barry65984
Posted
How long have you been on hormone therapy?
Which hormone therapy specifically have you been on?
How old are you?
Have you had a MRI performed?
May I ask why you didn't have surgery?
While I cannot answer your question, answering the above questions will aid others in replying accurately to your question.
as for me, I had surgery.
dave08450 barry65984
Posted
Yes I am wondering why you went straight to HT when the cancer is contained in the prostate...unless it isn't of course. My MRI said T1, then the biopsy said T2 then after surgery it went to T3 coz the base of the seminal vesicles were affected. I have to decide when to have RT, if at all. My first PSA is < 0.02 which is perfect so I am not rushing into anything as I may not need it. I'm just surprised you had HT first as that also has side effects. Best of luck.
norma72045 barry65984
Posted
Hi Barry,my hubby had Radiotherapy last year,I can honestly say it had no side affects on him. The hormone treatment,changed him though,he's been off it now for about six mths,he has hot sweats,not to bad now,and he got very emotional,and tired. But there still with him,but not so bad,but he don't have much energy. He's going to see his GP about some vitamin tablets.
But all in all he's come through it all plain sailing. But of course we're all indervidual. Good luck. Talk to people who are having the same as you.
barney34567 norma72045
Posted
What I do know is that if a patient has RT he cannot have surgery thereafter,
If he has HT he can have surgery afterwards. I was offered such a solution to my cancer.
For patients 70+ it is common to offer HT and I would take that.
At such an age I would not subject myself to surgery.
andrew68876 barry65984
Posted
barney34567 andrew68876
Posted
How old are you?
What type of surgery are you planning to have?
mark_fastco barry65984
Posted
I don't understand why you were offered hormone treatment if the cancer is just in the prostate. I am having my prostate removed on August 30th and was told that if the cancer was contained to just the prostate that this would cure it for good. You need to know that if the radiation therapy does not work that there is a good chance that you cannot go back and have the surgery because of reasons your doctor could tell you. I would rather not have the side effects that come with the Cure of the cancer. I would rather not have prostate cancer at all so I wouldn't have to deal with any decisions like this. Research research research ask questions is my advice to you. Good luck
alfred5 barry65984
Posted
Hi, my other half brachytherapy and wishes he hadn't due to severe side effects still 18 months on. His consultant did suggest active surveillance, we are wishing he'd taken that advice. But treatment would have been needed eventually anyway.
mark_fastco alfred5
Posted
Depending on your health doctors tend to recommend active surveillance a lot more if you're in your seventies and surgery if you are in your fifties and either some type of radiation type thing or surgery not leaning either way if you're in your sixties. Active surveillance is an option of course for any age depending on how much you want to gamble.
charles61038 barry65984
Posted
There are many treatment options available today. Do some reasearch to see which treatment may work best for you in your situation. I found several websites that give pros and cons of treatments. My PSA went down from 5.3 to 2.0 after taking antibiotics for prostatitis and also taking Avodart to shrink my prostate. Treatments that I was considering needed the prostate to be within a specific size. Mine was slightly larger than it should be. According to my urologist, it was on the larger side of normal. The Avodart helped shrink it to an ideal size. I researched this website: http://www.pctrf.org/ and it gave me some good information on various treatments. I opted for the Brachytherapy. It has been nearly 6 months since I had the treatment, which is a one time out patient procedure. There are some side effects, but nothing really bad. I am going in for my 6 month follow up this next week. My urologist told me that since my PSA had gone down to a low level, and my prostate cancer was contained, and with gleason score of 6, I could do the active survailence for the time being. I felt like I didn't want to do that and know I had prostate cancer. I wanted to deal with it now and get rid of the cancer while I am still young enough to recover from side effects and I don't have any other serious health conditions to deal with at this time. Everyone has a different experience with treatments. One thing to consider with any treatment is to choose a doctor that has performed that particular treatment successfully many times.
I wish you the best.
Charles
barry65984
Posted
barney34567 barry65984
Posted
Second, in my discussions recent,y with incologists, there is similar enthusiasm for HT as for RT above the age of 70.
Third, both HT and RT have side effects. HT has many more side effects than the hot sweats you mention. They include depression, mood changes and possible cognitive decline. I have not looked into HT v RT deeply but given patients could be on HT for up to two years, I would opt for RT.
norma72045 barney34567
Posted
barney34567 norma72045
Posted
Hi no I haven't. I was recently diagnosed with a Gleason 9 and the first few conversations with the urologist was about HT. We then talked about RT.
HT, long term was on the table for a period of 2-3 years.
I really, really, was against that.
Neither was I a fan of RT.
It was assumed the PCa spread, that is why surgery was not initially offered.
Only after I had a scan that was promising, was surgery placed on the table.
norma72045 barry65984
Posted
Barry I think you've made the right decision based on your age,
My hubby was told the same only he's had the RT as well,he was 73at the time,he's been of both treatments now for 6mths,and yes he's got slight hot sweats,gets tired easily,but all in all worked well for him.