13 months post Prostate cancer Radiotherapy.

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Just an update and a little encouragement for fellow PC sufferers.

it’s  been 13 months since I finished my 20 fractions of RT for Prostate Cancer and more than 6 months since I saw the last effects of that wonderful ADT jab. No bowel or urinary problems at all and slowly diminishing e.d and things are looking good. My latest PSA in October was 0.2 which is well within acceptable range and I’ve been told I’m now on 6 monthly PSA tests. I realise I’m not out of the woods yet with possibly another year for ‘late’ reactions to RT to appear but I feel good at the moment and at nearly 75 I’m planning on 5/10 years with a good quality of life but I’ll settle for a few more years after that. 

Best wishes.

peter r

  • Excellent news,  and that 0.2 is the same as my reading after 1 year off HT.   AW

  • Thanks for reply.  My previous reading was 0.4, up from 0.28 so I was a little twitchy, thinking it was going to continue to rise but the latest PSA at 0.2 is good news. So optimism back on track.

    Best wishes, Peter.

  • Hello Peter ( 

    Great news and thank you for taking the time to keep us updated.

    Your lowest or nadir PSA should be 18 months after radiotherapy as it keeps doing the business so let's hope for a low one.

    I’m planning on 5/10 years with a good quality of life but I’ll settle for a few more years after that. 

    Now that's a plan - something to aim for and I am sure my aim is just the same!!

    Best wishes - Brian.

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  • Many thanks for prompt reply. I’m doing my bit to help recovery, resistance training 3 times a week (weights) and healthy low fat, no dairy diet. I’m grateful for the response from the people who helped me in my dark days after diagnosis, yourself, A.W and others. Very best wishes.  Peter.

  • Many thanks for your reply.

    Best wishes. Peter

  • Good news Peter all sounds ok.

    Just to let you know it has taken 8 years for my PSA after RT to go from 1.33 to  .26

    So ended up similar to yours but taken a whileGrin

    Yes the worry always there that could start increasing again  but......fingers crossed 

    Good luck 

    Steve

  • Many thanks for that Steve.  8 years! To me that means that the RT did it’s job and basically poisoned the cancer. It was always at the back of my mind that the ADT might be the cause of the low PSA reading but your reply has given me reassurance that the RT actually works.

    Best wishes, Peter

  • The 0.04 reading was definitely because of ADT, and the slightly bumpy ride since then is the expected rise  as the ADT leaves the body and the radiotherapy damage settles down (don’t forget that your normal prostate cells took some DNA damage from the radiotherapy and they are slow to repair, as prostate cells divide and grow slowly).  The cancer cells can’t repair their DNA damage, so when they try to divide, the body doesn’t recognise them and so they are destroyed.  All this activity means some fluctuations in PSA.  Of course, you still have a prostate gland, so your PSA is unlikely ever to get back to the ultra low levels that were seen during ADT.   Your readings and trend to date are textbook.   AW