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Prep before treatment differences
JohnB
Posted: Thursday, January 03, 2019 4:33 AM
Joined: 12/3/2018
Posts: 17


Following this forum for some time and have heard some of you had to clean out colon days of treatment. Why would it not be the same for all if it is beneficial? I am in trial at UPMC in PA and there is nothing for me to do prior to my treatments other than show up (easy part). Hope Docs could offer their opinions.
JB
JAV
Posted: Thursday, January 03, 2019 7:35 AM
Joined: 10/29/2010
Posts: 801


Maybe at one time, they thought it would be beneficial, or just a standard protocol to follow, but experience showed it didn't make a difference ? If you ask, you may be told, "go ahead and do that if it will make you feel better" ?? I was asked to do that back in 2011, BTW. Jim V.

Treated with CK 4-2011.  Gleason of 3+4 , PSA 3.7 , two cores positive, 5% & 12%
 PSA on 7-13 0.3  PSA on 11-13 0.3 PSA on 5-14   0.3  
PSA on 7-14   0.2 PSA on 11-14  0.2 PSA on 3-15 0.2
PSA on 7-15, 0.2 PSA on 7-17 0.1 PSA on 1-18 0.13
JohnB
Posted: Thursday, January 03, 2019 7:38 AM
Joined: 12/3/2018
Posts: 17


Thanks Jim!

JB
Rick in IL
Posted: Monday, January 07, 2019 9:28 AM
Joined: 10/18/2018
Posts: 11


I was given the same direction to prepare for insertion of fiducials (magnesium citrate at night and two consecutive enemas the morning of the procedure), and enemas are in the instructions to prepare for forthcoming imaging to support treatment plan and for the individual CK sessions. Not the most pleasant task and wonder why there is no clinical standard here. My care is from STL Cyber Rick

Rick MP MRI 43cc volume 1.7x1.0 lesion in mid prostate 6/18 PSA 10/17 4.6, 5/18 5.4, 11/18 6.9 Biopsy 9/18 Gleason 3+4=7 for 2 of 18 cores and 3+3=6 for 1 of 18 cores. Positive cores were those targeted to lesion. Others (random) were negative T2b
Chico
Posted: Monday, January 07, 2019 10:01 AM
Joined: 10/10/2008
Posts: 446


JAV, Question ? Would the way the fiducials are placed make a difference in the Bowel Preparation , ( Transrectal, transurethral, or transperineal routes ) Not sure if they still do different approaches. When I had my Procedure in 2007 I had transrectal placement , now I don't think many are done this way now. Transrectal, transurethral, or transperineal routes
SteveK364
Posted: Monday, January 07, 2019 2:53 PM
Joined: 6/26/2018
Posts: 70


I had to do the colon prep every morning, but I've heard of others who didn't. So, I guess it varies on the RO's preference and/ or where you have it done.

SteveK364


JAV
Posted: Monday, January 07, 2019 7:19 PM
Joined: 10/29/2010
Posts: 801


I would think requiring a bowel prep for fiducial placement is required so an ultrasound probe can be used without a problem, if you catch my drift. I had mine placed transrectally, but I would think a US probe is used regardless of the method used. Good question for the Docs.

Treated with CK 4-2011.  Gleason of 3+4 , PSA 3.7 , two cores positive, 5% & 12%
 PSA on 7-13 0.3  PSA on 11-13 0.3 PSA on 5-14   0.3  
PSA on 7-14   0.2 PSA on 11-14  0.2 PSA on 3-15 0.2
PSA on 7-15, 0.2 PSA on 7-17 0.1 PSA on 1-18 0.13
SteveK364
Posted: Monday, January 07, 2019 7:36 PM
Joined: 6/26/2018
Posts: 70


Yes, Jim, I think you're right about the reason prep is needed for fiducial placement. Keeps things nice and "tidy" for those involved.

SteveK364


dakota2012
Posted: Wednesday, January 09, 2019 5:26 AM
Joined: 11/3/2018
Posts: 2


Did enema for fiducials and treatments.Some says its to eliminate gas. Make sure that you do enema at least one hour before leaving home, my first time did it 30 minutes before and did the blow out, but but on my drive felt another blow out luckily I was near a fast food place. Just in case keep paper and change of clothes in the trunk. SteveK I see that all is good.
JAV
Posted: Thursday, January 10, 2019 6:24 AM
Joined: 10/29/2010
Posts: 801


Good planning - gotta think ahead !!

Treated with CK 4-2011.  Gleason of 3+4 , PSA 3.7 , two cores positive, 5% & 12%
 PSA on 7-13 0.3  PSA on 11-13 0.3 PSA on 5-14   0.3  
PSA on 7-14   0.2 PSA on 11-14  0.2 PSA on 3-15 0.2
PSA on 7-15, 0.2 PSA on 7-17 0.1 PSA on 1-18 0.13
 

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