ADT. TURP.THEN RADIOTION

Thank you for joining our community. It's a rough journey getting here, but worth when you are.

I can't speak to the TURP because I haven't had one.

However I have had/am having the radiotherapy and hormone therapy combination. When you look at all the side effects you want to run and hide.

When you are undergoing the treatment, though, it's is a different matter. Almost no one has all the side effects.

The side effects that we mostly get can be managed.

In my case I have come to terms with the loss of libido, but it was running down anyway. 

Fatigue can be nipped in the bud by some exercise, perhaps and extra cup of coffee or, my favourite, a short nap. It doesn't really impact my life.

The hot flushes are the really intrusive things. I get 2 types - really hot sweaty episodes, and a milder, briefer, version. I reconcile myself to them by thinking of the cancer cells dying slowly and horribly.

The combination treatment is a standard practice because it is statistically very effective with positive outcomes.

I was never really frightened of it, having looked at the advice here and in other sites. It seemed to me that the risks of the treatment by comparison with the results made it a more than acceptable pathway.

Thank you for the reply

Hi, and a warm welcome from me, As Steve says we are all different and little differences, in what on the face of it, may seem like the same treatment and how our bodies react to it, is unique to us all.

Though I'm very familiar with  ADT and RT, as are many others on here with a similar staging to yourself, I'll share my experience of having a TURP, 

I had mine under an epidural, though I'm sure you can have a general anaesthetic as well, it was a weird but painless experience taking about 30 minutes to enlarge the urethra through the prostate, it's called shaving and these shaving will be tested, and will give you a more accurate reading of your staging, allowing for a better targeted treatment. After surgery you will have a catheter in, usually 1 to 3 days to keep the urethra open and to flush out the bladder and prevent infection, mine was in for 2 nights, removal isn't a problem so please don't worry about it. Once you show your able to pee, 3 times in my case, you will be discharged, and there are lots of good exercise and diet tips to help you through post Op, which are beneficial to most and not TURP specific, I'm sure the guys will happily share them, best wishes 

Eddie 

Thanks. For replying. It is very helpfull 

• Eddie .we're you on ADT when had turp. How long after turp start radiotion 

I had been on ADT for 6 months before having the TURP, " this is not a requirement", there was a delay due to ongoing heart issues and RT started 8 weeks later. No matter when you have your TURP, it's usual to wait  5 to 6 months from starting ADT, to beginning RT, this is to allow the ADT time to do it's job, to weaken and shrink the cancer, so the RT is a lot more effective.

Eddie 

Ok thanks again.

Hello Saber 12390c2b2 

A belated warm welcome to the group from me too (I am on holiday in Turkey !).

I agree with Eddie (eddiel) here - the ADT will put the cancer to sleep, the TURP will help you pee properly again and the radiotherapy will kill off the cancer for good.

I've had a TURP and details can be found by clicking om my name or avatar. The NHS guide is here:

NHS - Prostate TURP operation.

Feel free to ask any questions, however trivial.

Best wishes - Brian.

Thanks. Enjoy your holiday.

Get me some turkish shawarma.

Hello Saber 12390c2b2 

I am having a fantastic time thank you.

The chicken rolls/kebabs are amazing (don't tell my diabetic nurse!!).

Best wishes - Brian.