Prostate C, Stage 4

Update Oct 2026:

I signed up here ages ago, and then forgot about it!

My troubles started mid 2024, when, out of the blue, I could not pee. It just wasn't happening, and it was extremely painful!

I had a sorry situation for the next few months, attending A&E, where I had a catheter in, a catheter out... and it wasn't going away.

I ended up with a box for self cathetering, and have used them a handful of times in the last 18 months. Around the middle of 2025 - a year after my troubles started - I was finally diagnosed with PC stage 4, through a PSA test of 66.

At that point, I didn't really understand what that meant. I knew of the prostate but very little about it. It's like the appendix. It's there, but what's it do...?

I started out on some pills (Abiraterone), which didn't agree with me, so I was changed to Prednisolone and Abiraterone.

The initial dose was 2 of each, once a day. I started having fluid retention in my legs, so I was dropped to one Prednisolone. I asked about the 'hammer to crack an egg' approach of two Abiraterone, and that got dropped to one a day.

I have been stable for 2026, and I have some more bloods lined up soon.

The biggest pain, to me, is the lethargy - the tiredness. I don't sleep too well at night, and I need to go and lie down for a half hour 2-3 times each day.

Yes, it's a real pain, but I have great support from my wife, and we are both handling it as well as we can.

Some days are a waste - why did I bother getting out of bed - but generally, I'm OK.

Whatever happens, it's better than the alternative!

Best wishes to all suffering right now. We are all fully paid up members of a club that nobody ever really wants to join!

Parents
  • Hello BourneyPete

    Great to hear that after some trials and tribulations with medication, things are remaining stable for you. It sounds from your post as if you're approaching life with a positive attitude and I know from the many posts that I've read here on the forum that it really can make a difference to daily life. 

    It's good to know that you're being so well supported by your wonderful wife. I'm sure that you've tackled many of life's challenges together as a team before and knowing that there is someone there in your corner with you can mean so much. 

    You mention that you struggle with fatigue, and I know that this is something lots of members here will understand, particularly those living with a stage 4 diagnosis. Having a half-hour power rest to help you reboot and carry on with the rest of the day is a good way to pace yourself and manage this problem. Do talk with your health team, though, if you feel that it becomes more of a problem or noticeably worse. 

    If it would help at any point to chat with one of our nurses for some advice and support, you're most welcome to give them a call. I know they will be happy to listen and offer any advice, information and support they can. They're available Monday to Friday 9am to 5pm on 0808 800 4040. 

    Keep in touch BourneyPete and let us know how you get on at your next check-up. I do hope that you will be continuing to say "Whatever happens, it's better than the alternative!" for a long time to come. 

    Best wishes, 
    Jenn
    Cancer Chat moderator 

Reply
  • Hello BourneyPete

    Great to hear that after some trials and tribulations with medication, things are remaining stable for you. It sounds from your post as if you're approaching life with a positive attitude and I know from the many posts that I've read here on the forum that it really can make a difference to daily life. 

    It's good to know that you're being so well supported by your wonderful wife. I'm sure that you've tackled many of life's challenges together as a team before and knowing that there is someone there in your corner with you can mean so much. 

    You mention that you struggle with fatigue, and I know that this is something lots of members here will understand, particularly those living with a stage 4 diagnosis. Having a half-hour power rest to help you reboot and carry on with the rest of the day is a good way to pace yourself and manage this problem. Do talk with your health team, though, if you feel that it becomes more of a problem or noticeably worse. 

    If it would help at any point to chat with one of our nurses for some advice and support, you're most welcome to give them a call. I know they will be happy to listen and offer any advice, information and support they can. They're available Monday to Friday 9am to 5pm on 0808 800 4040. 

    Keep in touch BourneyPete and let us know how you get on at your next check-up. I do hope that you will be continuing to say "Whatever happens, it's better than the alternative!" for a long time to come. 

    Best wishes, 
    Jenn
    Cancer Chat moderator 

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