Diagnosis: localized carcinoma of prostrate - October 2016. 3/8 affected .Gleason 3+4 (50%)2/3core, 3+4(30%)2/4core, 3+3(<5%)1/6core.DRE clear. MRI No extra-capsular disease, no evidence of lymphadenopathy. PSA 6.3 , Age 61 years, 53cc post biopsy gland
Medical history : Myocardial infract -16 years ago . One coronary artery sent and since then no issues. Check up with cardiologist regularly.
Erectile dysfunction - 4 1/2 years ago . Pills worked till this year. Injection recommended - (Edex) tried once and worked in physicians office but painful.
TREATMENT :
Hormone therapy ( bicalutamide 150mg once a day tablet, ) for 3months , then implantation of fiducial markers,MRI and CT scan to design treatment thenCyberKnife radiation for 5 days. Gel used to minimize effect on other immediate organs - Space OAR. Bicalutamide stopped on day CyberKnife treatment was completed three months ago.
POST TREATMENT:
First three months follow up today after CyberKnife treatment
PSA 1.79 today from 3.06 three months ago
Urinary urgency still present sometimes but significantly reduced .
Urinary rate flow significantly improved. Did not need flowmax after CyberKnife
Mild breast enlargement from hormone treatment still present
Told that these will gradually get back to normal but even now they are not problems.
No other side effect noticed .
Next PSA check in three months. Hoping and praying for permanent very low PSA.
Will follow up with urologist on ED. Need one that is not painful and can be transported with minimal ceremony.