RT wasn't starting to be offered as standard alongside Chemo and HT until very recently when the Stampede trial put out its results last Sept so I wasn't offered it when my treatment plan was made.
However I was fortunate to have a second opinion via [Doctors name removed by moderator] at the Marsden who ran the trial so I was able to speak with him when the results camp out and he confirmed that for low burton metastatic PCa it can make a significant difference. Following speaking with him I asked my onco for RT and was able to start pretty quickly.
The Stampede trial is about giving RT straight after Chemo, although in my case [Doctors name removed by moderator] though six months gap shouldn't make a massive difference. I would imagine straight after the tiredness will be compounded but compared to Chemo it's a walk in the park.
I took 6 fractions with one bigger dose per week, your dad may as an option get offered 5 fractions a week for 4 weeks at a lower dose for each fraction.
They don't' know why it works but think the RT boosts your immune system. I had a choice and reasoned that a bigger dose less frequently will give my immune system more time to boose. My onco agreed.
There's a good article on the forms on the trial.
It's not a really easy treatment, especially I would imagine straight after Chemo but it's also I would say manageable and worth any positive outcome.
All the best to your dad through his treatment :-) Hope this helps.
Edited by member 11 Feb 2019 at 11:19
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