Thanks a lot Rancherdave, Michael and Saipan Paradise. I plan to consult at least two/three MO and finalise one. Regards and all the best....
RRP in 2010 failed after two years. SRT to prostate bed only with 10 months ADT in 2017 also failed. I think high time to search and consult 2/3 top Mo specialist in PC and take the next step....
Eat whatever you feel like but have lots of liquids. It worked for me. After some time you can cut down on certain anti Pc food items....
Can he go on Avodart? It reduces DHT only without reducing testosterone, hence no side effects like in ADT. This is Dr Myers protocol to slow down and gain more time,which I used for a few years....
Congrats for 5th anniversary and wishing you many more....
Thanks Pratoman. Yes I am from India. Coming to US is no problem. I had my robotic prostatectomy in Orlando from Dr Vipul Patel and had been consulting Dr Snuffy Meyers also. Dr M Zelefesky is good....
SRT to prostate bed only with ten months of ADT has failed.Latest PSA is 0.054.Suggest the next course of action. Should I take another chance and get the whole public area minus the prostate bed...
No I am not on ADT any more. That was only for ten months with SRT and last three months Lupron shot was taken in July 2017....
After salvage radiation to prostate bed only with ten months of ADT in Feb/Mar 2016 my PSA remained <0.008 for about one year ie till May 2018. After that it started increasing and the latest has...
You may like to contact Dr Vipul Patel in Orlando,who is a poineer in robotic prostatectomy and has done maximum in the world. He does salvage prostatectomy too....
I have read somewhere that after Radiation there is PSA Bounce in mAny cases where in there is temporary increase. Can it be that?...
Allen,Sorry to know that you have decided to leave. Your in depth knowledge has benefited so many of us. We will miss you. Personally I am very grateful to you for your guidance regarding my salvage...
After RRP in 2010, undetected PSA for two years, then PSA slowly reaching 0.272 in Oct 2016. Had a 68 gl PSMA Scan- negative. Started SRT and 9 months of ADT. Had cassadox for one month, Lupron for...
Sad news about Mel. My prayers for his early and complete recovery....
A very sad news. God bless his soul....
Bryan Sorry to hear about the sad demise of your father. God bless his soul. You are a great son. Wish you all the happiness in life....
I tried his growth arrest program when I faced recurrence after prostactomy. He gave me Avodart, metformin, statins and curricum.It worked for some time but ultimately I am going for salvage...
Hello, Shortly I am to start salvage radiation. I have to choose between Varian True Beam or Varian Triology. I request views as to which will be a better choice? True Beam with a slightly less...
Sandesh, sorry to hear about your father. I agree with WHO it requires aggressive treatment at the earliest. Unfortunately here in India there are no top of the line facility and doctors specialists...
I am planning for salvage radiation and am in a dilemma whether to include the nodes too or not. Would request PT3aNoMo fellows who got the nodes also irradiated to share their experience and help...
Allen, no node dissection. Going for salvage radiation and want to know if I should get the whole pelvic radiation or just prostate bed. RO has left this on me and I want your and other experts...
Hello All, I am to start salvage radiation seven years after RRP. Please help me decide whether I should go for pelvic bed+ hormones or whole pelvic + hormones. I have already started cassadox and...
I am on Avodart to avoid/delay SRT. Psa came down to half(0.16 to 0.10)in six months,remained almost static for next six months then started increasing. At present it is 0.15. Should I consider it...
Allan, thanks a lot for detailed guidance. Decipher test is a good idea. But will it change the treatment plan if I go for it?...
Allan thanks a lot for clarification but please help me understand the following. 1.There as a trial named ART which says that Avodart delays biochemical progression of pc patients with bio chemical...
I am from India,had biopsy at John Hopkins,robotic prostactomy in Orlando and at present following growth arrest protocol of Dr Myers and taking Avodart and metformin for the last two years. Though...
I am planning for salvage radiation as I am facing recurrence.My psa is going upward from a nadir of 0.09 which I had after starting Avodart about two years back. At present it is 0.15(still on...
Fairwind it was by Dr Snuffy Myers. He says we will slow/stop the increase of Psa and if not then once the Psa is around 2 go for advanced imaging and nuke where ever it is. Hope it works....
Age now 61, dx in 2010, psa 8.37, two cores positive gleason 3+4=7. Robotic in April 2010-PT3A- Gl 3+4=7 perinural invasion and extraprostatic extension identified, rest all clear. Psa undetactable...
It means enjoy life and forget about past. Just a half yearly psa....
What I understand is that Avodart reduces the size of the prostate hence the psa is to be doubled. It is still not clear to me as to what happens when there is no prostate.In case, because of some...
Two years after RRP[Apr 2010], psa started increasing and reached 0.18 in next two years, to avoid IMRT I started Avodart and Metformin, in about 6 months psa came down to .09, remained static for 3...
Thanks Jerry and Tall Allen. As per the MO also it is real but there is no study on this matter. Even if I have to double, it come to same as it was one year back. Regards and God Bless You Good...
Recurrence after prostactomy. PSA remained <0.02 for about two years and then reached 0.18 in the next two years. Started Avodart and Metformin in Jan 2014 which in about 8 months brought down Psa to...
Hi Viperguy, Sorry I could not repy earlier as I was on long break and wanted a change. After Avodart and metformine PSA came down to .09 in 9 months and is holding on there for the last two months....
PC is very slow growing cancer and is highly over treated. Do not rush,get as much info as possible from different sources before taking any decision. It will be better if you put his complete...
Jerry, Pre dx psa was 8.38. Dx at 56yrs at present 60yrs. For two years after RRP the psa remained undetectable then started upward. Psa in Dec 14 was .17and as per my and doctors calculation the...
Allen, Dr Myers did not advise radiation as of now. As per the plan he wants to bring down the PSA and increase the doubling time as long as possible. IMRT and ADT will be used in future whenever...
RRP Apr 10,pt3anomo Gleason 3+4=7 epe and peri inv. All scans pet clear. Psa undetectable for two years then it started increasing. Psa jan 14was .17. Dr Myers put me on Avodart Metformin to increase...
I will go for radiation and short term ADT both if the second psa is also the same or increased. Path report not very encouraging. Hit fast hit hard. All the best....
Hello DJB- I am also facing recurrence 4 years after da Vinci. What I have learnt from this forum and various other sources is that IMRT and about 18 months of ADT will give the best results,...
Age 60, RRP Apr 2010, PT3A NO MO,Gleason 7[3+4] EPE and PIN. PSA remained undetectable for two years then started increasing and present PSA is 0.17 doubling time about 8 months.I was planning for...
I have not put the big guns away for ever but to use them at an appropriate time. My stats-age 60.dx 2010 psa 8.37.2of12cores positive Gleason 7(3+4) da Vinci 2010 ,Gleason same,all negative but epe...
I was planning to go for imrt and adt for my recurrent PC four years after da Vinci when this famous med oncologist advised Avodart and Metformin to increase the psa doubling time.My latest psa...
Thank you all for the advise and the reference threads. I am now 60 years old.The negative parts of path report are,firstly "Gleason score 3+4=7 with tertiary pattern 5 [approximately 50% pattern 3,...
Hello All :- RRP failed after 4 years of da-vince op in 2010, present PSA is 0.14,doubling time about 8 months.Path report-PT3A NO MO,Gleason 3+4=7, all negative but perinural invasion and...
I am from India, had RRP in Orlando USA and would like further treatment also preferably in USA.However It can be any part of the world to get the best,radiation and medical oncos.Thanks KSK...
Hello I am facing recurrance of pc 3 years after RRP. PSA remained undetectable for two years when it started increasing and my present PSA is .13. I need to finalise radiation and medical oncos...