January 7 is the one year anniversary of my brachythearpy. 95 seeds
implanted. Before treatment, my PSA was 4.08, biop showed Gleason 6.
After 2 months, PSA was 1.1; after 6 months, it was 0.9. Today I got
results from the test two days ago and it was 0.6. Guess things are working
out! I saw my oncologist on Monday (before the test) and he told me that
many men under 65 (as I am) who have this treatment begin to see a temporary
increase in PSA after about a year. The radiation is all gone and the
prostate can recover somewhat, but I guess this is not happening to me.
James A. Honeychuck - 07 Jan 2005 09:06 GMT
Congratulation Bob. And how are you doing on side effects?
jimhoney
> January 7 is the one year anniversary of my brachythearpy. 95 seeds
> implanted. Before treatment, my PSA was 4.08, biop showed Gleason 6.
[quoted text clipped - 4 lines]
> increase in PSA after about a year. The radiation is all gone and the
> prostate can recover somewhat, but I guess this is not happening to me.
MH - 07 Jan 2005 12:08 GMT
Congrats, Bob! Sounds like things are going very well!!
MikeH :)
> January 7 is the one year anniversary of my brachythearpy. 95 seeds
> implanted. Before treatment, my PSA was 4.08, biop showed Gleason 6.
[quoted text clipped - 5 lines]
> and the prostate can recover somewhat, but I guess this is not happening
> to me.
No Spam - 07 Jan 2005 12:51 GMT
> January 7 is the one year anniversary of my brachythearpy. 95 seeds
> implanted. Before treatment, my PSA was 4.08, biop showed Gleason 6.
[quoted text clipped - 4 lines]
> increase in PSA after about a year. The radiation is all gone and the
> prostate can recover somewhat, but I guess this is not happening to me.
Hey good for you. I am at 9 weeks post seeding and clocked a zero
PSA. Doing pretty well and am looking forward to the 12th week when
I can drink Pepsi's, eat szcheuan, and have a grapefruit without
looking over my shoulder for the food police.
I started with a 4 month Lupron, PSA dropped like a rock from 10+ to
1.3.
That was followed by 25 IMRT sessions, PSA hit .8 during the
sessions. Then, a .3 PSA.
The IMRT worked out well, I managed to get a 7:00 AM slot and the
Inova Cancer center is on my way to the office. I stop for a blast
of rad, have a danish and coffee, and get to my desk before 8:00.
Had 97 seeds of Palladium-103 at the end of October. The main
side effect through November and December was getting up to "go"
in the middle of the night.
I took 4 days off for the seeding but "could" have gone into
the office on the 3rd day. I was juiced up on Decadron so it was
better that I stayed home.
For the first month, when I had to "go", I had to "go". Hopping on
one foot didn't cut it. I had, like, a minute or two.
Fortunately my desk is 20 feet from the men's room.
There were a few nights when I almost reached for the back-up
decadron.
I took it easy for the first two months. If I felt "funny" in any
way, I took the day off. Funny= tired, burning when "going", hard
to "go". That happened about every other week so I probably took an
extra 5 days of sick leave after the seeding.
Gradually things have improved. This week is the first week that
I've felt strong and, ah, "potent". I don't know if it's that I'm
in the 5th half-life of the Palladium-103 or due for the last Lupron
shot.
I'm able to climb 3 flights of stairs, briskly again.
I wonder what to expect from the next 10 months. How long does it
take the Lupron to flush out? When do you feel at 100%? I don't
see many comments of what seeding/rad patients experience.
Alan Meyer - 14 Jan 2005 00:18 GMT
> ...
> Hey good for you. I am at 9 weeks post seeding and clocked a zero
[quoted text clipped - 11 lines]
> take the Lupron to flush out? When do you feel at 100%? I don't
> see many comments of what seeding/rad patients experience.
I had two Lupron injections with a theoretical life of four months
total. The actual effect on testosterone levels remained strong for
five months, then began to slowly climb back. By six months I was low
normal testosterone and shortly after that fully normal.
Note: your "zero PSA" may be due to the Lupron + radiation rather than
radiation alone. Don't be surprised and upset if the PSA rises after
the Lupron wears off. I had undetectable PSA values at one and three
months post-treatment, which equalled 0 and two months post Lupron
theoretical wear-off. Then my six month test came in at .8 and nine
month test at .6.
Alan
Tom Cular - 14 Jan 2005 10:07 GMT
I got my last 4 mo. Lupron shot in Oct. with PSA testing sched. in April, my
Dr. feels that any sooner testing would be influenced by the Lupron.
Tom
> > ...
> > Hey good for you. I am at 9 weeks post seeding and clocked a zero
[quoted text clipped - 25 lines]
>
> Alan
No Spam - 14 Jan 2005 12:34 GMT
> I had two Lupron injections with a theoretical life of four months
> total. The actual effect on testosterone levels remained strong for
[quoted text clipped - 7 lines]
> theoretical wear-off. Then my six month test came in at .8 and nine
> month test at .6.
Thanks. I'll watch for that. There's also the "bounce", so I'm
prepared.
If the Lupron takes another month or two to wear off, that's fine.
Steve Kramer - 07 Jan 2005 18:38 GMT
Congrats, Bob! If I recall correctly, you were much younger than 65,
weren't you? If you're the same "Bob" you were one of very few in their 40s
who went with radiation.

Signature
Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3bN0M0
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron (1 mo) 07/21/2003 @ 48
PSA .07 .05 .06
Lupron (4 mo) 8/03 (48), 12/03, 4/04 (49), 09/04 (50)
non Illegitimi carborundum
> January 7 is the one year anniversary of my brachythearpy. 95 seeds
> implanted. Before treatment, my PSA was 4.08, biop showed Gleason 6.
[quoted text clipped - 4 lines]
> increase in PSA after about a year. The radiation is all gone and the
> prostate can recover somewhat, but I guess this is not happening to me.
Bob - 07 Jan 2005 19:57 GMT
No, I was 62, but that still makes me MUCH younger than 65!
> Congrats, Bob! If I recall correctly, you were much younger than 65,
> weren't you? If you're the same "Bob" you were one of very few in their
[quoted text clipped - 11 lines]
>> increase in PSA after about a year. The radiation is all gone and the
>> prostate can recover somewhat, but I guess this is not happening to me.
Steve Kramer - 09 Jan 2005 20:10 GMT
I'll be damned. I wonder where I got that from. You much type young.

Signature
Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3bN0M0
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron (1 mo) 07/21/2003 @ 48
PSA .07 .05 .06
Lupron (4 mo) 8/03 (48), 12/03, 4/04 (49), 09/04 (50)
non Illegitimi carborundum
> No, I was 62, but that still makes me MUCH younger than 65!
>
[quoted text clipped - 13 lines]
> >> increase in PSA after about a year. The radiation is all gone and the
> >> prostate can recover somewhat, but I guess this is not happening to me.
Beverley - 07 Jan 2005 18:45 GMT
There is no recovery for a seeded prostate if it was properly seeded. It is
fried to a crisp and the only thing that will be left is a wee bit of scar
tissue around the seeds.
For the one year mark a 0.6 is an excellent PSA! Congratulations!
Bev
> January 7 is the one year anniversary of my brachythearpy. 95 seeds
> implanted. Before treatment, my PSA was 4.08, biop showed Gleason 6.
[quoted text clipped - 4 lines]
> increase in PSA after about a year. The radiation is all gone and the
> prostate can recover somewhat, but I guess this is not happening to me.