Dear Paul
I am also Gleason 3+4 PSA 12 and stage T3a; I finished 20 sessions of RT three days ago. I have been on ADT since February and may be on it for 3 years. MRI showed the PCa had reached/ just broached the edge of the capsule but no sign of lymph node spread. Bone scan clear (phew!)
I get hot flushes from the hormone treatment , particularly at night, but no other issues that bother me.
I took on a personal trainer to undergo strength/weight training during the hormone treatment to counteract the muscle loss that the treatment causes. This was excellent and I will start again soon now RT is over - I feel stronger and it's a psychological boost to be doing something positive. I've continued to walk and play golf throughout.
The Cheltenham Hospital RT Dept have been fantastic from the CT scan through the 20 RT sessions. I started to get side effects at half way - urgency and frequency to go to the loo (both), getting up about 5 times per night and a bit of mucus and blood from the rear. On telling the radiolotherapists, they advised giving up caffeine and alcohol - this made a big difference. The staff have been super-supportive and helpful.
The next appointment will be in about 6 weeks to see if the side-effects have improved and to check on the PSA - I haven't had another PSA since my initial diagnosis.
I think the side effects are diminishing and I hope to be back to normal in a few weeks. I do wear pads if I go out for more than an hour ( eg golf) but haven't had any major incidents.
Hope this helps - do contact me if you want to ask anything else because our scores are very similar.