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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2005Brachy and Enlarged Prostate
I have an enlarged prostate and corresponding urination problems (a couple of times at night, weak stream etc). I know that if I chose LDR Brachy, I should expect more severe urination problems for the next 6-8 weeks after implantation (maybe also a blockage and a need for temporary cateter). But I did not find any info about long term effecfs: say, after 6-8-12 months will the prostate shrink enough so that the pre-implant urination problems resolve ? or at best, it will be as before the implant ? or even worst ? Any experience with this expect of LDR Brachy ? Cheers --- Elf >I have an enlarged prostate and corresponding urination problems (a couple of times at >night, weak stream etc). [quoted text clipped - 5 lines] > Any experience with this expect of LDR Brachy ? > Cheers --- Elf These are good questions to ask your urologist and your radiation oncologist. I had HDR plus EBRT and had urination problems for about 5 months that were pretty well controlled with Flowmax. But my prostate wasn't too enlarged before treatment and I had no urinary difficulties beforehand. I did have prostatitis before treatment and still had it afterwards. It wasn't severe and hasn't been a problem for me, but I admit to hoping that the radiation would cure that too - but it didn't. Dr. Walsh says in his book that if you've got other prostate problems, surgery might be better than radiation because, by getting rid of the prostate, it solves all of them. Alan <snip> >Dr. Walsh says in his book that if you've got other prostate problems, >surgery might be better than radiation because, by getting rid of the >prostate, it solves all of them. <snip> I was agreeing with Dr. Walsh's suggestion, when I was told I would be wearing the Foley catheter for 3-4 wks post discharge after HDRB. However, my Radiation Oncologist assured me that my Tumour was far too aggressive (4xG8 plus 2xG7), plus my age (70), other ailments would make the 18 mths ADT, 23 fractions of EBRT plus 3 doses of HDRB the better treatment regime, given the risk of a temporary Urinary Blockage for a few weeks post HDRB. (You possibly know I got all this on the Clinical Trial.) I'm peeing OK now with the help of Flomax. All I want to do now is get a clearance from the evil "Catheter Lady", hopefully today 08/08/05 and get back to work to recover a few $$$. Then if necessary, have yet another TURP later on. -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC >I have an enlarged prostate and corresponding urination problems (a couple of times >at night, weak stream etc). [quoted text clipped - 5 lines] >Any experience with this expect of LDR Brachy ? >Cheers --- Elf Had the same problem with enlarged prostate (72cc) from BPH which had been TURPed 18 yrs ago, but still caused a blockage after my HDRB. /from previous post Big day for me today (Monday 01 Aug..) Finally got that damn Foley catheter out after 3 wks and passed the voiding trials at the local community health centre. "woohoo"! /end previous post Had to return for another set of "normalising" trials on Thursday to check the bladder sphincter has resumed it's old habits. This was OK, but the urinary retention was still too high, so I have to return Monday 08 Aug to have yet another bladder scan. I explained to the nurse that my retention was always high prior to the HDRB, so she's going to give me some "self-catherisation" kits in case I get into trouble. (Damn glad that Foley's not going back in). Still on Flomax until further notice, plus another TURP may be on the cards after follow-up with the Uro who placed my HDRB template and catheter needles. hope this helps, -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC I was 62 when diagnosed, and had a prostate volume of about 60 cc. The Uro had me on Lupron for about 6 months prior to seeding to shrink the gland, the volume at seeding time was about 23 cc. I experienced urinary retention and urgency for a while following the implants with the worst about 6 weeks post seeding and then improving. I was taking Cardura for blood pressure, so no Flomax ( both are alpha blockers), just an increase in the Cardura for a while which helped. At 14 months post seeding I normally get up once during the night, a lot better than the 3-4 times that drove me to see a Urologist in the first place. Tom > >I have an enlarged prostate and corresponding urination problems (a couple of times > >at night, weak stream etc). [quoted text clipped - 35 lines] > > -- CC I'm not a doc and I have no idea how big is an enlarged prostate. Seeding usually will cause the prostate to swell. (It really pitches a fit being invaded with seeds.) But after the swelling goes away so does the prostate. The prostate gets fried to death with the seeds. After about a year or two there is nothing left but seeds and a little scar tissue. Bev > I have an enlarged prostate and corresponding urination problems (a couple of times > at night, weak stream etc). [quoted text clipped - 5 lines] > Any experience with this expect of LDR Brachy ? > Cheers --- Elf Bev, I don't know for sure what gets fried, broiled. sautéed or baked, but !!! now that the Lupron has worn off, I'm glad that it's only medium or medium rare, not well done. BTW we got halfway to your area [God's country is on side of the tunnel/bridge ;-)] over the past weekend Tom > I'm not a doc and I have no idea how big is an enlarged prostate. Seeding > usually will cause the prostate to swell. (It really pitches a fit being [quoted text clipped - 17 lines] > > Any experience with this expect of LDR Brachy ? > > Cheers --- Elf Am I to assume you were on the Eastern Shore? Yes, it is lovely there. Wish I could afford to live in some old Victorian in one of the little coastal towns. Bev > Bev, > I don't know for sure what gets fried, broiled. sautéed or baked, but !!! [quoted text clipped - 31 lines] > > > Any experience with this expect of LDR Brachy ? > > > Cheers --- Elf Yes we were, one son and his family live near Salisbury. My thought was the north side of the tunnel/bridge, I guess that's why there's a need for proof reading. Tom > Am I to assume you were on the Eastern Shore? Yes, it is lovely there. Wish > I could afford to live in some old Victorian in one of the little coastal [quoted text clipped - 41 lines] > > > > Any experience with this expect of LDR Brachy ? > > > > Cheers --- Elf |
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