You need to ask for another testosterone test to see whether your testosterone went up towards the end of the 6-month shot. A scan of some sort is unlikely to detect something at such a low PSA level...
Suspicious MRI results are typically given a PI-RADS score. A biopsy should tell whether anything significant is going on with respect to cancer. It is not at all unusual to find two lesions that...
I suggest you discuss the outcome of the PEACE-1 trial with your medical oncologist. The outcome of the ARASENS trial may be relevant too (at some point)....
Yes, you may have lost the < sign, but this may be due to test variance. Your prior result may have been 0.09 ng/mL which is unlikely to be statistically different from 0.1. But I do agree that...
Sorry, SBRT really is not what is claimed above. The fiducial markers are placed ahead of the procedure (under anesthesia). They are used by the instrument (CyberKnife is one of them) as markers for...
Whatever, the message should be that regular colonoscopies are advisable for many, just like regular PSA tests. I am not up on the statistics, but early detection of polyps can prevent major problems...
There's High-Dose-Rate brachy (HDR) in additional to 'permanent' seeds brachy. In HDR brachy a radioactive source is inserted into the prostate for a certain amount of time and then withdrawn. This...
One big reason for not finding much on the forum about focal therapies is that they were generally (!) not recommended by authoritative bodies like the American Urological Association. I believe that...
The above two posts are spot on and closely relate to my own (Gleason 9) experience (see my medical summary). As I recall, the rad oncologist stopped by one time to ask how I was doing. He also told...
PSMA is such an attractive point ('Achilles heel') for developing therapies. Many other than Pluvicto are under consideration. For instance, one can use a 'bullet' like the one mentioned above...
Yes, there are several threads on this forum that relate to Pluvicto. Just use the search function. But I will add that the treatment isn't 'experimental' anymore. Results of a large trial (VISION)...
I do believe that your doctor is correct. I have read that some doctors like to start treatment at a PSA of 0.1 ng/mL, but I don't know if that has been validated. I have also seen cases where the...
Permanent AFAIK...
Thanks 81GyGuy for doing 'the hard work'. I think that the AI answer is pretty good (and better than what I could have written) considering that this is a very unusual situation. I will add that,...
This is from the Mayo Clinic website: DHEA is a hormone. Use of this supplement might increase levels of androgen and have a steroid effect. DHEA also might increase the risk of hormone-sensitive...
Nice; now you can relax for another six months or so!...
Wow; those more recent numbers are amazingly low. The radiation from the seeds is (essentially) long gone, but the cancer cells keep dying, albeit slowly....
Yes; as others have written, this looks like prostatitis (infection of the prostate), but keep following your PSA for some time. Hope it settles down....
Yes, as a Gleason 9 patient, I agree with the logic outlined by halbert (and implied by several others in this thread)....
Yes; like Tudpock wrote another PSA test is called for. I hope the result will put you all at ease once again....
Yes, the situation you are facing is scary, but as others have pointed out, there are some excellent options to consider for treatment. It's likely that you will be offered some form of 'triple play'...
Such a sudden rise usually means that you have an infection (prostatitis). But do check this out ASAP. The MRI should help in figuring out what is going on....
If I understand correctly, you were on two forms of Androgen Deprivation Therapy after brachytherapy? And currently on one (Zoladex)? I am of course a nobody, but my understanding is that 18-24...
We sometimes talk here about triple plays (two kinds of radiation + ADT) for contained high-Gleason cancers, but you had a quadruple play. And it seems to have worked; your current 'numbers' look...
Yes, that is a sound plan. Especially if your PSA continues its upward trend, you could consider another type of scan that does not rely on PSMA. Some prostate cancers do not express much PSMA....
Second that 😊...
I don't think they are the same. More in general, prostate MRIs are best run on a 3T instrument, but that's all I know for sure. I am utterly surprised at the level of ignorance of the folks you...
How low is your testosterone? Below average for our age or really low (castrate level)?...
Your PSA will fluctuate after radiation therapy. As long as it stays below nadir (0.22 for you) plus 2, there's no reason to worry. PS: I just saw that you started two threads on this topic. There...
It's time for a consult with a well-respected Medical Oncologist with experience in prostate cancer. In fact, that's the person who should be the leader of your team at this point....
Doxa wrote: No cancer anywhere except for this little nodule that lite up in his lower abdominal area. I would consider the possibility that this is something other than prostate cancer. Can this...
There's a lot of variation regarding the effects of ADT on people. Some have reported mild symptoms; others are seriously affected. I do think that you will be feeling something resembling hot...
This fraud with a company billing for catheters made the national news today and Congress will be investigating....
I don't know what the background is for the original question, but I will repeat halbert's comment: suppressing PSA through drugs or supplements can give a man a false sense of security that he...
Agree with the last paragraph above....
SBRT to T4?...
In the 'olden' days, before PSMA scans, a bone scan was usually done because prostate cancer cells that have escaped are more likely to find a niche to proliferate in bone. The process takes a few...
Who is OJ Woth? 😊...
That's great! I do like the plan to alternate the PSMA and choline C-11 PET scans....
Hopefully his hands are still steady......
Yes, an updated study would need to include support groups on Facebook, etc....
In addition to the therapies mentioned by JNF (nice post), there's an experimental (focal ablation) one that 'blows' holes in the cancerous cells. It's called NanoKnife: https://nanoknife.com/ PS: I...
I agree that you choose the best 'solution' by keeping your mouth shut....
Considering your credential, maybe the Crown will invite you to visit the King while he is in the hospital. First Class to London, of course. 😊...
Thanks Glen; Yours has been a special case considering the T issue and I am glad to read that our suggestions have been helpful. Good luck!...
I would look into other reasons for your bladder issue....
What are they looking for when there's no prostate?...
Thanks for those two posts (spouse21 and Boomer). I now recall that when I had the (blood in stool) issue, my rad oncologist inquired about my use of aspirin. That was about ten years ago, and I had...
The prior posts represent a good overview of what can happen after radiation. My experience is somewhere in the middle of those and don't shine any really new lights on the issue. Nevertheless, here...
Great idea! 😊...