I had minimal voiding problems prior to RALP. Post op my flow was slower and urgency/nocturia was an issue. Didn't make physiologic sense without a prostate. I had been continent with exercises. My...
Sorry if I was overstepping the board rules, but I am a physician which I made known from the start (look at my ID). I was diagnosed with Gleason 9 prostate cancer which was found to have pelvic...
I switched to injectable "Repatha" twice a month. Very potent to lower total cholesterol and small dense particles....
Except for cost, my experience with Orgovyx was acceptable. The benefit in my case was rapid onset of testosterone suppression and rapid return of testosterone after discontinuing the medication. It...
I thought I would share my incontinence treatment following RARP. Initially I had moderate incontinence with a lot of frequency and nocturia resistant to all oral medication. The incontinence...
That's a lot to digest. Unfortunately, the whole article which is a review of other studies, is only available to purchase. I understand the palliative use of ADT in metastatic disease. I don't quite...
I can't compare the two since I chose Orgovyx as my first planned short course 6 month ADT treatment combined with SRT. I made the choice since Orgovyx clears your system quickly and your...
As an aside, my urologist related a recent patient who was lost to follow up after his urologist retired. He was disease free for 3 years but happened to be in town and came back to be rechecked. His...
First let me thank the board for all the information and support that was offered after my diagnosis. Despite being a 70 year old physician, your viewpoints were valuable from the very start in 2021....
6 months following RARP I was continent with the help of a physical therapy exercise program. The urinary frequency however was terrible. I tried myrbetric and oxybutinin with minimal success. Up 3-4...
Has anyone else had experience with orchiectomy? I just finished SRT for a spot in my pelvis found by Pylarihy Scan when my post op PSA was .1 then doubled over 2 months. I chose Orgovyx for ADT...
There is so much information and anecdotal stories shared here that it is overwhelming. I am ashamed to say that I often loose track of links that were sent to me concerning clinical research studies...
Thanks Jack. Actually spicy food and a beer for dinner may play a part - no more. My lab just came back on Orgovyx for 6 weeks. PSA drop from .247 to .024 and Testosterone 829 to 0. Makes me sweat to...
I am 6 weeks on Orgovyx alone and waiting for followup lab results done yesterday and initiation of pelvic SRT in 2 weeks. First week on Orgovyx and I thought that side effects were minimal. Then it...
What data is there to support duration of ADT following EBRT for presumably localized residual cancer following RARP. I am now 2 months into Orgovyx awaiting the start of EBRT for a single spot shown...
70...
Thanks for the great feedback. I plan to discuss timing of EBRT with RO after Thanksgiving but will begin ADT immediately. I will post my experience with orgovyx - side effects and cost....
Just left urologist office and he was correct in anticipating my need for savage radiation therapy after the RARP in August and despite my early optimism. I had T3b pathology (both seminal vesicles...
I am scheduled for a Pylarify scan tomorrow at a small hospital outside of Charlottesville Virginia - Augusta Medical Center in Fisherville!!! No other PSMA scanner of any type is available in...
What recommendations do people have concerning their therapy with androgen blockers,either oral or injectable, short term pending EBRT or longer term? Differences in side effects?...
Back from my first post op urology follow up since my catheter was removed. Now 7 weeks post op from my RARP which found T3b cancer (Gleason 4+5)(positive bilateral seminal vesicles but with clean...
I appreciate the first hand experience and advise. I prided myself on always listening to my patients while in practice. My preop PSA was 9.8. Path did not describe tumor load but just that both...
Time for me to get some feedback on difficult personal treatment decisions. I am a 70 year old semi retired physician. 4 years ago I had an asymptomatic stage 4 non hodgins lymphoma diagnosed on a...