Brachytherapy-would like to hear your experiences

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Hello all. I have posted several times here as I've struggled to make a decision about what is the best path for me moving forward. My stats:

68, Caucasian, Gleason 3+4, 5/24 cores indicative of prostate cancer. 

After doing as much due diligence as I could short of becoming a urologist, and after speaking to at least 3 urologists, one who is the head of the department where I would be receiving treatment, I have decided to go the brachytherapy route. 

Surgery sounded way too invasive to me, but I was willing to do it if my main doctor said an absolute yes. But he felt that brachytherapy could achieve the same cure rate. My main fear was having "radioactive pellets inside my body. But no matter what procedure I looked at, they all had negatives, every single one. I felt like I was trying to choose the lesser of many evils. 

With brachytherapy, assuming my body accepts it well, being able to have an erection and orgasm is still a possibility, although perhaps not for several years. Also, the doctor told me that even if the cancer returned, there would be other radiotherapy options, as well as surgery, despite what I had been reading. 

Since my father died of a heart attack at 63, I honestly did not think I would be here this long, although I'm very grateful I am, because I've been able to achieve some of my life dreams, despite me being in my 60s. So, I'm encouraged to get this procedure done and hope it works its magic. 

I will not meet the brachytherapy doctor (surgeon? radiologist?) until September 6. Until then, I hope I can research as much as possible to understand what awaits me. 

If any of you gentlemen have undergone brachytherapy, I would love to communicate with you and learn from your journey. 

And for the rest of you: I feel admiration for you all for facing this very challenging situation and seeking out help/advice/friendship on this site. I did in fact try other sites, but Macmillan seems to have the best people, and people who have faced their fears and also have a sense of humor, which I believe one must. 

Thank you in advance, and I hope to hear from you. 

  • Making the decision is the hardest part. It's great that you now have a direction and know where you're going.

    Yesterday is history, tomorrow is a mystery and today is a gift.
    Seamus
    (See my profile for more)
  • Dee, Good luck with your Branchytherapy appointment next month.

    I totally agree with Seamus about making your decision.

    Let us all know how things progress.

    Steve (SteveCam)

  • Dee,

    The phrase below my signature is for your benefit, remember when you were talking about the Proton Beam.

    Remember 'Star Wars'???

    Steve (SteveCam)

  • Thank you, Steve, I will!
    -Dee

  • Indeed I do, thank you, kind sir!

  • Thanks for the post.  I am in pretty much the same place as you except a little younger (59).

    I feel that Brachytherapy is going to be my best option as well.  Just feeling a bit reluctant to make the jump at the moment as it all seems quite weird - no symptoms, active lifestyle and feel perfectly healthy.  I am now about the embark on a journey starting with a major operation and introducing radio active material into my body.

    Lets hope for the best possible outcomes.

  • Well, let's support each other. I have an appt on Sept 6 at which point I hope I get a hospital date to get this started. Like you, I have no symptoms and feel healthy. One thing I've noticed is that my penis seems to "vibrate" a lot. I don't know what's caused that. Also, urine flow is not always strong, but sometimes flows as natural. Also, orgasms do not produce a lot of semen, but, at least now, two months after the biopsy, the color is normal. 

    Like you, I do not really want to pursue this. But after much thought and considering the other options, I pray this is the right choice. Exactly. Let's hope for the best possible outcomes. Thank you for responding and be well. 

  • Hello, Net Zero. I wonder if you've started on your journey? I will meet with my doctor tomorrow and I hope a hospital date can be set, although perhaps I will have to have more tests first, I'm not sure. Please stay in touch, if you'd like. 

  • Hi there,

    I too start tomorrow.  I have the stage 1 planning scan, and then I meet with the oncologist for a pre assessment review.  When I first discussed the Brachytherapy we talked about using the SpaceOAR gel, but unfortunately the NHS will not cover it so I am now looking to see if my private health care will be able to pick it up.