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A few questions for the doctors
Posted: Friday, October 05, 2018 3:01 PM
Joined: 6/26/2018
Posts: 69

I begin CK treatment next week and had a few questions: 1. After being radiated, does the prostate essentially "die," or does it still function? 2. When will the first PSA be done and how often will it be checked after that? 3. After the five treatments, how long will my radiation oncologist continue to oversee my case before turning things over to my urologist? Thanks.


Posted: Friday, October 05, 2018 5:01 PM
Joined: 10/29/2010
Posts: 800

My experience has been : 1.) It takes a while, but some time after I was radiated ( can't remember exactly how long after ) , my R.O. did a DR exam and said my prostate ( or what was left of it ) felt "flat & smooth". Ya, the radiation kills the little guy. He said it was probably all scare tissue at that point. 2.) I had a PSA done about 3 months post-toastie. 3.) Probably until either you or him stop respirating. I see both my R.O. and Urologist now once a year, 7 years post-toastie. I believe technically, the Uro. is in charge of your case, since the prostate is "his" organ, so to speak. But the R.O. is the specialist who did the deed on the organ. But I would like to hear the Dr.'s take on that. Good luck with your treatment - the not so fun part is now done; the catheter & fiducial placement.

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
Posted: Saturday, October 06, 2018 9:31 AM
Joined: 9/10/2016
Posts: 20

1) Some cells could survive, but usually not the cancer ones - they die when they try to divide - that is why the PSA doesn't go down immediately. 2)I believe the standard is every three months. 3)The urologist may never need to see you if the R.O. just gives you a standing order to have a PSA check at regular intervals. In fact the R.O. should want to do this so he can track how effective the treatment was. I'm two yrs out in Nov. My R.O. scripts the PSA, which for the last two times has been undetectable <0.02


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