My journey

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Just found this forum and thought I would share details of my journey with prostate cancer.

  1. Went to the doctors about 3 years ago with a routine complaint. Doctor carried out a standard set of blood tests which revealed my PSA  level was 12 (should be <4.5).
  2. Was sent for an MRI scan, which revealed a grade 3 lesion, and the urologist suggested I have a biopsy. 15 samples taken of which 8 were positive (6 x 6 and 2 x 7)
  3. I was advised I was suitable for active surveillance, so had PSA tests every 3 months. After 2 years the PSA level had increased to 16 and I was advised to have another MRI scan and another biopsy. Both showed that the cancer had got a bit worse and I was advised to consider treatment. I was also given a nuclear medicine bone scan.
  4. I had a meeting with a surgeon who explained the risks and possible side effects of having the prostate removed. Then had a meeting with an oncologist who explained what hormone treatment and radio therapy was all about. I was encouraged when the oncologist described the cancer as fairly well behaved. This was March 24, and the oncologist said there was no rush to have treatment so if I had things planned for the summer then it was ok to have treatment in the autumn.
  5. Went on holiday and sat on a beach in Bali for a couple of weeks to decide which way to go. The literature I was given suggested both treatments were equally effective, so it came down to a short, sharp shock (5 weeks recovery after the operation) or a much longer HT / RT treatment period but with better chances of finishing the treatment being normal.
  6. I chose the HT / RT path, and had the first Prostap injection last November 24. After 2 months I had a CT planning scan and blood test. PSA level had fallen to 1, and testosterone level (should be about 18) was 0.6
  7. Beginning of February 25 I had the second Prostap jab, and the 20 days of RT concluded at the end of March. Just had a 6 week consultation with the oncologist to check on how things are going.
  8. PSA level is now 0.1 and things are going well. Worst part of the RT was visiting the bathroom 5 times a night, but the RT side effects cleared after a couple of weeks. Still getting side effects from the HT, including minor hot sweats, some loss of strength and occasional mood swings. 
  9. Currently playing golf twice a week and waiting for next consultation and PSA test in 6 weeks time.

Overall I'm pleased with the decision I made regarding treatment, even though it will be another 2 or 3 months before my body can get things back to the way it was before the first Prostap injection.

  • Hi  .  Textbook.  Well done.  AW

  • Hi  sounds like the correct decision for you and well done.  It is a hard choice but RT has advanced so much in a relatively short time.  Your post will no doubt help others. David

  • Hello  

    Welcome to our exclusive club. Looks to me like you are in great hands and everything is going well.

    I had some bad hot flushes on Hormone Therapy and Sage Tablets cured them - they don't work for everyone.

    The other point is HT can weaken your bone structure, so make sure you are prescribed Calcium and Vitamin D Tablets.

    Carry on - you are doing great.

    Best wishes - Brian.

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  • Thank you  for posting this.  My hubby is just embarking on the HT/RT route.  Had his first Prostap injection yesterday (see my profile for his story so far).
    While we’re relieved to be through the diagnosis stage it’s still hard not to be full of uncertainty and worries .  Hubby doesn’t want to come on the forum but likes me to share information with him.  So I read your account to him and he found it reassuring that you’re able to be pretty positive about your experience. 

    So thank you very much for sharing.  All the best to you for forthcoming months 

  • Like you ,only difference I  was advised to go down the radiotherapy path, mainly due to my ongoing spinel channel nerve damage, just finished my radiotherapy on 2nd May.main issues still having to get up during night for 3 to 4 pit stops, massive weight gain,hot flushes day and night, mood swings luckily not been to bad, saying that probably better asking the Wife!!!. Don't know if it's linked , I get very itchy legs, mainly on shins and top of feet, I'm  taking tamsulosin hydrochloride, I did try stopping them, the itching stopped, but really become painful having wee's,  felt like I'd got stones, was told off for stopping them without consulting my doctor. So now just the 3 monthly injections for 3 years. Will ask my doctor at today's appointment 

  • What a great post and thank you for sharing I'm having hormone jabs every,3 months and start my radiotherapy,30th June 

  • 3 to 4 pit stops a night? You are lucky. At one stage I was thinking of moving my bed into the bathroom. During the early stages of RT I would typically wake up at about 12:30am with quite a strong urge to go. Get to the bathroom and all I could manage was a spurt and a splutter and a dribble (with some discomfort). Strangely it got better going through the night and by 8am it was a normal urine flow and no discomfort. I was given Tamsulosin which helped, and a couple of weeks after the RT finished it had significantly improved.