Simulation and update

I got my simulation, tattoos and body cast. Also I have been on ADt for 2 1/2 months.
I am doing OK. LOTS of intense hot flashes but I am fighting cancer. A small price to pay.

I have done well with my cardio. Since I started my ADT, no drop off nor feelings of weakness.

I had the fiducial markers and spacer inserted the week prior to the simulation. I handled that well too. Only hitch, a small one, they kept me a couple extra hours in recovery because of a lot of blood and also clots in my urine.

So, all in all. I am doing good.

Lost the ability to have an erection within a few days of starting ADT but again, I am fighting cancer so, it is what it is. Thank God we have something to prolong life. Peeing every 45 minutes since on the ADt. At night it's challenging. I kinda fear it will close off completely before I finish radiation.

Re: ART/SRT, I found the full bladder and empty bowel to be a bit of a challenge as my GI tract does not behave consistently. The techs usually let me know how I was doing when I asked so I could adjust over the first few weeks until I got the thumbs up every day on both. Did take Gas-X after first week also. The better job one does on the taking care of these items reduces side effect potential so worth paying attention to until you get it dialed in. I behaved on weekends so that Monday morning was not going to be crisis in the bathroom. Due to equipment issues, my 9:00am appt was rescheduled for 6:30pm one day so I followed my same morning protocol of 32 oz of water, 1.5 hour prior and they said my bladder was not full enough so a short delay as I drank more. Go figure.

AJ - No ADT, RO said that it was not proved to benefit those with very low PSA, ART, and no spread observed in pathology. He said I could do it if I wanted but he saw no need based on recent studies. ART is already a leap of faith since by definition as one does not have a significant PSA nor any symptoms. I thought ART had enough "over-treatment" potential and would rather deal with the side effects one procedure at a time. I was finally recovered from RALP and it was time to spin the SE wheel again with a new treatment to go for the "cure". So far, so good and doing well.

Other - Developed a rash in the first two weeks which is pretty rare I found out but ended up not being much of a problem once my skin got used to it while using recommended creams ( I sunburn quickly as well). Got pretty tired near the end, I was doing a workout one day and just ran out of gas with extreme fatigue and cut it short. Went home and slept for over an hour which is unusual for me in the middle of a day. Did not not get that fatigues again but was tired in general for the last two weeks and a couple of weeks after treatments ended.

Note: If they tell you that your bowel is not clear enough one day, they asked me if I could go to the bathroom to which I said probably but said I cannot poop without peeing which is a dilemma. They asked I had used a clamp and then handed me one. Took a few minutes but figured the system out, got my business done, and was able to get recycled after the next patient. The techs have seen all types and have answers for most problems if you just ask.

Thanks for the update AJMAN. Our pathology and treatment are similar, and I will echo other comments that the radiation should be pretty routine after the 1st week or so.
I had a 10 AM appointment and I gave up coffee before my treatment. The Clinic had a great coffee machine and I would treat myself after each session. I also gave up alcohol during the week, but I usually had a beer or two on Fridays.
For the hot flashes, I drank soy milk per a recommendation from my RO. I would drink 3 glasses or so a day, and I really believe it helped. You may want to give it a try.
Interestingly, I only had a "cast" for my lower legs and feet; not my pelvis.
Keep us posted on your progress!