Prostate cancer

I was diagnosed with prostate cancer 3 years ago, intermediate risk and opted for active surveillance. Now I have become high risk and need treatment. I have opted for androgen depletion therapy followed by radiotherapy. 

Can anyone who has experienced this give me advice, how the medication affected them, how long the medication was in place before the radiotherapy, how long the radiotherapy lasted. I know everyone is different but a general idea would be good. My cancer is Gleason 4+5 and has begun to invade the capsule but no spread elsewhere. 

thanks in advance 

  • iloveglee welcome to the forum, I  started 20 months ago with ADT a 4 week course of bicalutamide, 1 pill daily followed by hormone therapy injections, prostap, once a month for the first 2 months then every 3 month, then radiotherapy about 6 months later 73 gy over 20 sessions over 4 weeks, which is 50% more than most guys have. Side effects for me, fatigue, hot flushes, hair loss where the RT was focussed, urinary incontinence, loss of libido and being more empathetic and tearful. iloveglee like you say we are all different and side effects are different for everybody, as for mine, loss of libido and hair loss sorted themselves, hot flushes easily treated, urinary incontinence, " i also had a TURP" exercise and tamulosin though not perfect i am ok. emotional and tearful i actually liked it as many guys do, fatigue, exercised my way through it. Fatigue seems to hit everyone but you can lessen it's impact by getting yourself fit now. I was lucky not to get erectile dysfunction which is quite common and can be long term or permanent , best of luck with your treatment, take care.

    Eddie

  • Thanks very much  for the response. So far I have been given 4 weeks bicalutamide and first prostap injection next week. The urology consultant led me to believe I’d have these every 12 weeks but no indication for how long before radiotherapy. maybe I’ll get to know more next week. I’ve not seen an oncologist yet but presume that’s the next step. 

    I’m lucky I guess in that I’m pretty fit already as I walk a lot and am retired so I’m not going to find fatigue will interfere with work. The rest of it well who knows.  Was just about to plan a holiday with some friends but with the uncertainty as to timing am having to put that on hold sadly.  Health is more important although holidays are as well!!

  • Hi, every three months with prostap injections is what most have and are usually on it for at least 2 years. Radiotherapy should start in about 6 months and you will see your oncologist about  months before that for scans an to plan treatment, then 2 weeks before RT you may get your tattoo's done, depending on what RT treament you receive.

    Eddie

  • That’s really helpful thank you. The urologist only talked about prostap prior to radiotherapy, didn’t mention anything about it continuing. I’d have thought that would be an oncology decision. I’ve been referred to the consultant lead of the multi disciplinary team but not been seen by him yet 

    my daughter works for a gp practice and she says they have loads of men on prostap. Her gp’s give them but I don’t know if mine does.  So for now it’s wait and see. I’m pretty sure I’ll feel more settled when I have a plan and timeframe for everything. It’s the uncertainty that gets to you. Will have to learn how to be a patient patient!!

  • Your urologist and oncologist will be working closely on your treatment plan, though once RT starts your oncologist will lead on decisions, when you meet you MDT make sure you get your cancer nurse specialist's CNS contact number as she will be part of your MDT and by far the easiest to contact. If you want to have your Prostap injections at your GPs ask the nurse at urology next week, that's where i have mine, last one September.

    Eddie

  • Thanks for that. I’ll mention it next week. It’s a bit of a drag to the hospital and much easier to have it at gp. One thing that’s good is that the hospital where the urology department is, is pretty much next door to the hospital where the cancer treatment takes place. We’re very lucky with the specialist hospital 

  • One thing about the radiotherapy department, you will find the radiographers the friendliest, and most helpful staff you have ever met, they will answer any questions you have and if they can't will find someone who can, If you feel a little off in any way let them know, my oncology hospital was a hour away and parking was so bad you had to allow an extra hour, luckily i found a cancer charity there that transported patients to and from treatment

    Eddie

  • A friend of ours had radiotherapy for breast cancer last year and couldn’t praise them highly enough. We have the same parking issues at the cancer hospital I’ll attend. People queuing up to get in the car park blocking the road!!