Hi all,
It has been a while since I posted.
I was diagnosed almost exactly a year ago - it has been a roller coaster ever since.
Some of you might remember I had a Radical Prostatectomy in July (along with the removal of 35 lymph nodes) - shortly after which my wife was diagnosed with breast cancer.
My RP went well, but I found out in August that I had some metastatic spread to my lungs and pelvis and was put on Bicalutamide.
In hindsight, I’m not sure I would recommend having so many lymph nodes removed—I should have checked for alternatives, but the surgeon said there was a 75% chance of involvement - so I figured "while you are in there", but in reality they were all clear.
I now have some swelling in my thighs (lymphoedema) which is quite problematic, but a Doppler scan today just cleared me of any clots, so I’m moving on to compression - lucky me!
My wife started Chemo in September, and I started Triplet Therapy (Docetaxel, Darolutamide, and Prostap) in October and November. The chemo affected my wife much worse than me, so I’ve been able to look after her, the dog, and carry on with work as usual.
I had a bad reaction to the first chemo session, but with antihistamines and extra steroids, it’s been manageable since - it just is infused over 2 hours instead of 1.
My wife had great news last month—scans showed no trace of the cancer. She’s just had an operation (a ‘scrape’ rather than a lumpectomy) and should get those final results at the end of the month.
As for me, I heard yesterday that my PSA has dropped to undetectable after just 2 sessions of chemo! My lung nodules have also shrunk, and the Oncologist is super happy. I have 2 chemo sessions left to go (having now had 3). He said the 6th session could be skipped.
Aside from some tiredness and a bit of a ‘pill regime,’ I’ve had next to no side effects.
I wanted to share this because your support has been amazing, and to let people know that these treatments can have incredible results and sometimes they are not so tough as you might think - I know I was terrified of HT at the start.
Yes the impact of RP and HT are life changing - but I'd rather be here with my loving family than not, and I know they share that thought.
I’ll have a final PSMA PET scan later in March following my final Chemo session on 6th March.
Keep fighting everyone!"
all the best
Tom
Hello Tom (Beard)
What an amazing post and brilliant news for both you and your wife. Thank you for taking the time to come back to us and deliver the great news.
I wish you both well moving forward.
Best wishes - Brian.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
Strength, Courage, Faith, Hope, Defiance, VICTORY.
I am a Macmillan volunteer.
It’s been a rough ride for both of you buy you both are coming through it! Well done! I hope your scan results are good and that you both can sail into calmer waters and enjoy some better health. Well done! I am so pleased for you both
Hi all,
Just a little update, I always sought out "good news" posts when I first joined the site, so I thought I would update on my experience. I will update my profile too.
I had my follow-up with oncology this week and the results were (in the oncologists words) excellent. My PSA is still undetectable, the lung nodules have completely gone, the bone metastasis has drastically reduced, and there are no new metastases. My bloods are all good and the echocardiogram showed my heart is normal too.
So from a cancer point of view, the treatment (triplet therapy) has worked incredibly well, and I feel very lucky. My wife had good news too - following radiotherapy there is now no sign of cancer at all. She has neuropathy to her hands and feet and fatigue, but is coping admirably well.
I am now moving onto 3-monthly monitoring with the oncology team.
I am not saying I have “beaten” it, and I know the ongoing battle is to keep the PSA low and stay on top of things, but I did want to share this because when I was first diagnosed I found it really helpful to hear from people who were responding well to treatment.
The treatment and side effects are not easy, and I am still struggling with lymphoedema and mobility problems following surgery (I may write a separate post on my experience of the impact lymph node removal can have), so it certainly has not all been straightforward. But the main thing I wanted to say is that these treatments really can work, and sometimes they can work amazingly well.
We also had fantastic support from Macmillan with our finances, and I would really encourage anyone to speak to them about what support may be available. It helped us enormously and took a lot of pressure off us at a very difficult time.
I also want to say a heartfelt thank you to our respective oncologists and the team at QA Hospital (Portsmouth) for their care, expertise and support throughout all of this. We feel very fortunate to have been looked after so well.
A year ago we could not have imagined being in this position, so we hope this gives someone else a bit of encouragement.
Wishing everyone all the best and sending strength to those still in the thick of it - there absolutely is hope.
Tom
It's great to hear your good news Tom.
I'm also on triplet therapy, finished chemo October 2024 and my PSA remained undetectable at my last 3-month review in March.
Long may it continue.
Derek.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
Hello Tom (Beard)
What a cracking post and great news for you and your wife.
Whilst you may not be "out of the woods" there's god news and things are so much better than last May.
I love posts like yours - it makes volunteering worthwhile and as you say by posting your results and situation it will give encouragement to others - brilliant.
Please do keep us posted and my best wishes to you both for a continued recovery.
Kind regards - Brian.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
Strength, Courage, Faith, Hope, Defiance, VICTORY.
I am a Macmillan volunteer.
Thanks Brian and Derek, that’s very kind of you both.
This site was a huge help to me, especially in the (scary) early days, so if sharing my experience gives someone else a bit of hope then I’m very glad to do it.
You and the other volunteers do a brilliant job, and it really is appreciated.
Very best wishes,
Tom
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