Lots going on, not in a good way

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Hi everyone, I haven't contributed here for a while, as things were OK, and I had gone back to work part-time, but now I have a lot going on and not in a good way.

Quick recap - prostatectomy in December 2019, followed by hormone therapy and radiotherapy in 2020, developed lymphoedema, had radiation proctitis in Nov 2021, PSA started creeping up, had SABR radiotherapy in May 2023 for cancer signs on my lower spine.

Now it's February 2024, and there's a lot going on. Having experienced bleeding from my bladder I was referred for a cystoscopy. My oncologist thinks that this is because of more radiation damage, as recent scans didn't show any signs of soft tissue cancer anywhere. The flexible cystoscopy under local anaesthetic was unsuccessful so I had a rigid cystoscopy under general anaesthetic, and I am still recovering from that. I still have a catheter which they are due to take out next Wednesday. I'm feeling very upset by this.

On the actual cancer side, recent scans show that I still have three spots of cancer in my back, one in my spine and two in my ribs. They are all "small problems" according to my oncologist. The technical term is "oligometastatic prostate cancer" which means there are just a few metastases.

The plan is to have more SABR radiotherapy for the cancer cells in my ribs, but before that I am due to have a "cryo-ablation" procedure on the cancer in my lower spine. That will involve inserting something in my spine and then freezing the cancer cells to destroy them. That's the plan. Things have been delayed because it's taking longer than expected to recover from the urology op (the cystoscopy).

Getting stuck with a catheter of 2.5 weeks has really upset me. And of course, the catheter is uncomfortable, occasionally painful, and very restrictive, I wasn't prepared for the recovery to be taking such a long time. It feels like a setback.

I was quite excited about the prospect of the cryo-ablation, another hi-tech procedure, but now i am worried that it might be delayed again, or that it might cause more unexpected complications.

Oh, just to be clear - all my treatment has been in the NHS, and I am always amazed at how lovely everyone is despite the pressures they are all under.

Please send constructive advice and good vibes to cheer me up.

Love to all, Angus (not my real name)

  • Hello Angus,

    Thank you for sharing, sending lots of hugs and positive vibes your wayHeartTulip Keep smiling tho can be difficult but gaining positive energy can help in small ways I think. Take careBouquetTulip

  • Hello   As you say - all well until the bleeding. I can't help you much there but wish you luck with your continuing care and treatment.

    I can understand the feelings regarding the catheter - I had one for 10 months - the trick is to keep everything spotless and try and ignore it and get on with life. Morning and night boil some water, let it cool and once at it's cool. pull back your foreskin (If you have one) and clean around where the catheter enters the penis (there will be debris!). This will prevent any UTI and you will feel better for it.

    Good luck going forward - if I can do anything else for you please let me know.

    Best wishes - Brian.

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  • Hi not really Angus

    I'm following a similar track, albeit several years behind you. Open RP, then RT due to rapidly rising PSA. Now have Lymphocele (I guess following the surgery). This is causing me some pain in my leg after I walk for a short distance. Did you get this? I'm struggling to find people who have had the same thing.

    Hopefully your catheter will come out next Wednesday (I remember looking forward to the removal of this following my RP so I know how you feel ... goodness knows how people live with them for months and years).

    It sounds like you have a good team working on your condition, so at the moment everything sounds fixable. I've recently talked to a couple of friends who now have no treatment options - just palliative care when the pain gets too much. I feel for them ... but we are not there yet, so I hope you can keep faith in the medics and let them work their magic.

    All the best

    Paul

  • Hi Angus 

    It sounds like we are both in a similar situation. I had the surgery and radiation about 4 years ago as well. I’ve been on hormone therapy since then. I get scans to track a couple of spots on my ribs. Recently  I had a bladder scope and biopsy and it was clear of cancer. I recently had 12 days of heavy bladder bleeding but was able to avoid the catheter. My doctors keep telling me that this is due to damage from the radiation. It’s scary and gross but it will clear up. One thing I did to get the clots to pass was hang upside down with a full bladder to try and move the clots about. It seemed to work but a couple of times I thought I was going to have to get a catheter. 
    anyway keep up your spirit stay hydrated and try to be active 

    well wishes to you 

    1. Sending love and lots of hugs your way 
  • Hello Angus you’re going through the mill a bit ,keep upbeat if you can and hopefully things get better,you’ll feel better once the catheter’s out  sending good wishes Robert

  • Hello all,

    Thanks to everyone who commented on my post two weeks ago, I thought I should share an update.

    I had the catheter removed on 21st February, to my very great relief. The urology nurse was concerned about retention - not being able to pass urine - but I have the opposite problem, which is incontinence. I have not been completely dry since my original surgery 4 years ago, but since having the catheter removed things are a lot worse than they were immediately before the operation. I hope things will improve in the coming weeks.

    In the meantime, I am due to have the cryo-ablation procedure this week on Thursday (7th March) which will require one overnight stay in hospital. I have met the specialist who is going to do this and he took the time to explain what this involves. I have also met the nurses (CNSs) on the team, so I am a lot less worried about that, although there are risks involved as there are with any surgery.

    The next round of SABR radiotherapy is due to start in the week of 25th March, with a "dry-run" session in the week before that. This will be my second round of SABR so I know what to expect.

    Thanks again to everyone, and best wishes to you all,

    Angus (not my real name)

  • Hello  

    Thankyou for the update - I know just where you are coming from when you had the catheter removed - although believe it or not after 10 months - I missed it (but I had to learn to wee again and that's another story).

    I wish you well with the operation on Thursday - It sounds an interesting procedure on your spine and I do hope it works for you - and the radiotherapy should be like a walk in the park after the operation.

    Keep us posted and best wishes - Brian.

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