My first biopsy diagnosis was nearly 2 years ago with G6, psa around 5 and high volume. I went on AS, had a positive MRI and then a couple months ago a 2nd biopsy. It showed the volume was as high as 100% in one of the sections (can't find the pathology report...).
It was still G6 but with the volume so high I decided to go with the Cyberknife SBRT treatment. and that wrapped up four weeks ago. For those that don't know the technology, you have to have 5 gold markers implanted in your prostate and then have an MRI and cat scan to set up the geometry for the robot. It uses X-ray scanners to check position before each beam shot so breathing or other movement is compensated for. There are 5 treatments over two weeks that are about
an hour long each. No pain of course, though after the 2nd treatment you have trouble with urinary function, but flomax helped that. Now I'm pretty much back to normal.
The other interesting thing is that during the gold marker implant, the surgeon also implanted a hydrogel 'spacer' between between the prostate and rectum to minimize damage and future SE's. The spacer is supposed to dissolve over several months but initially you do feel the 'fullness' of things.
After I'd scheduled the cyberknife treatments I got the results back from Epstein at JH and it said that there were traces of G7, 4+3 I believe but I'll have to check. How the heck is that possible? My oncologist said that 2nd opinions always come back with more since that's what they're paid for but I think that's a bit cynical. It's a puzzle but just makes me more positive that I didn't wait another year.
Except for the catheter needed during the MRI (if I never need another catheter I'll be glad
it was a smooth process and now I'm not stressing every day, at least until my next PSA in Feb!
I'll check back in then but I want to thank everybody who contributes to this forum. It has been very helpful!