Here I am again

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Hi all,

I posted last year regarding my husband with a starting PSA of 1300 ish, advanced mets to bones and localised lymphs. Well since the diagnosis in April 2024 he has been on Digarelix monthly injections and started on Enzalutimide in September 2024 PSA came right down to 352 until this month when his PSA went up by 100! Now I'm.panicking again! The oncology team have said it might be a one off so he is now waiting on a CT and bone scan. He has tolerated the medication well, only real side effects are tiredness and dry mouth and a few night sweats! He has a CT radiotherapy planning scan tomorrow just to try and shrink the prostate as the tumour is pushing on his left tube from.bladder to kidney which they put a stent in back in August

Am I right to panic? Can Enzalutimide stop working so soon? . Biopsy showed normal slow growing cells.

He is 74 years old.

Thank you 

  • Hi  so sorry to hear that your OH’s PSA is rising.  I am not medically trained but the HT would normally last longer but we are all different in the way we react.  I haven’t seen anyone with a PSA that high after such a short time but hopefully others will be along to give their views.  Best wishes, David

  • Hello  . This rollercoaster can be difficult to deal with so I do empathise. The question about how long the hormone therapy works for is a bit like how long is a piece of string. For some it is a few months, for others it is years. My husband was on Enzalutamide for 18 months and then had to stop due to recurrence. For hubby radiotherapy to the prostate and whole pelvic area was very successful and remains so 4.5 years later - he also had a stent from the kidney to bladder due to the cancer restricting the tube but was able to dispense with it after radiotherapy. Also treating the 'mothership' had a good effect on the PSA and maybe this will be the same for your husband. It seems to be trial and error to sort out the best treatment for the individual and we have to rely on the team looking after us.

    Just a question - has the stent been changed - my husband had to have his changed every 3 months because it can get gummed up. Also has your husband had a testosterone test to check that he is at the castrate state.

    Let's just hope that this is a blip but keep us informed.

  • Hi there, Thank you for your response

    He has had the stent in since 30th August!

    His testosterone is castrate level yes and since he has been on the hormone injections last April has stayed that way. It's just this PSA that has risen this month.

    He has radiotherapy planning CT scan tomorrow. I just find it difficult with the ups and downs 

  • Good Morning  

    i am sorry to read of your husband's problems and do hope you get some answers. You said in your last post-

    . I just find it difficult with the ups and downs 

    There is plenty of support for both of you and if you don't mind here are two suggestions:

    * Do you have a "Maggie's" near you - this is a cancer support charity with centres up and down the UK where you can just drop in, have a drink and they can offer you plenty of support - details here -  Maggie's

    * Please do give our Support line a call on 0808 808 00 00 (8am to 8pm 7 days a week). They will be able to provide both you and your husband with some extra support.

    If I can do anything else for you please do get in touch.

    Best wishes - Brian.

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    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

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  • Make sure your husband keeps an eye on his flow and watch out for urine infections which he can be more prone to with the stent. The general guideline is that it should be replaced every 3 to 6 months because crystals can build up in it. My husband's urologist had great delight in showing me the state of his when it was removed and it was definitely cruddy.

    The ups and downs are difficult and at times I just wish I could get off the rollercoaster but then I don't want the alternative.