MRi Scan two lesions in prostate

Hi Brian 

Thanks for the positivity and always great advice it's always appreciated 

Best wishes 

Peter

It won’t matter if it’s 4 or 6 months HT prior to RT, as those cancer cells will be fast asleep. The longer you wait the weaker they get and you are very unlikely to become “castrate resistant” in such a short timescale.   AW

Morning AW

Thanks for the information. 

My first day on the hormone tablets today so the treatment journey begins fingers crossed  the side effects aren't to bad,im very apprehensive to say the least it's the unknown I suppose. 

Peter

There’s a school of thought that the lower that you can get your PSA on HT, before RT, the better. I only had two and a half months HT before brachytherapy as HT shrinks everything and, as I only had a small prostate to start with, they needed the space to insert all the radioactive seeds.  It was then another month to external beam radiotherapy, so I had three and a half months before the 23 fractions of that.   AW

My PSA was 7.07 when diagnosed  I have a enlarged prostate and one of the leisons is 17mm so I suppose it will take a while to shrink ,hope all is going well for you 

Peter

If you have an enlarged prostate, even more reason to be going for 4-6 months HT prior to RT.  Looks like you have a good team in charge.  AW

Yeah that makes total sense not looking forward to the RT with my really bad overactive bladder, my prostate buddy who I was hoping to get some tips about trying not to wee during RT turned out he had the beam radiation therapy with a empty bladder so just my luck  

Peter

Hello Peter (Psb2024) 

It all depends where you have your Radiotherapy, most are empty bowel, full bladder. I was a "lucky boy" as I was at The Christie in Oldham - empty bowel, empty bladder.

Before every fraction the radiologist would say "have you been?".

Best wishes - Brian.

Hi Brian

I really could benefit from that treatment you were definitely a very lucky boy,do you think it's worth me asking maybe asking for a referral where that treatment could be done as my bladder is bad ? 

Regards

Peter

Hello Peter (Psb2024) 

I don't see any harm in it - the NHS is always telling you to pick and chose where you have your treatment. The hard part may be finding a Radiology unit working the "empty bladder" system.

Best wishes - Brian.