555J-
I agree about
the Flomax and Aleve. I did just that and took them and daily Cialis starting the first day of radiation.
Larry said...
from the biopsy I was a gleason 7, after surgery a gleason 9 t3b so SBRT probably would not have been the best treatment?
Understand that the efficacy statistics for radiation treatments are based on clinical (biopsy) findings and not pathology reports. So with your
clinical diagnosis of GS7, you were "intermediate risk" (although NCCN allows a high risk diagnosis when there are two intermediate risk factors, and PSA of 19 is definitely one). In Dr Meier's large, multi-institutional SBRT study, the 5-yr biochemical recurrence-free survival was 97% among clinically diagnosed intermediate risk patients. Now, when SBRT is used for high risk, they include the seminal vesicles, but only the proximal end is normally treated. So whether or not it would have been curative for you depends on the plan, and exactly where in the seminal vesicles that the cancer was found.