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Stu Hyatt and Sheila live in Washington, USA. He was 65 when he was diagnosed in 1997. His initial PSA was 9.5 ng/ml, his Gleason Score was 7 and he was staged T2 . His choice of treatment was Surgery . Here is his story.

Surgery failed after 10 months in November 1998. PSA was 0.4. I waited until it was 1.2 and went on ADT3 (Triple Androgen Deprivation Therapy - Casodex 50 mg a day).

I remained on that for 18 months with last 13 PSAs under 0.05 and testosterone about 30. Changed my diet to low fat and no meat, no dairy, etc. Took Fosamax after first year of ADT (Androgen Deprivation Therapy) to get bone density back were it was.

I went IAD (Intermittent Androgen Deprivation) for 68 months. When my PSA was at 3.7 I took Casodex, Avodart and a one month shot of Lupron. PSA went to 0.03 at end of month. Went on "ADT 2 ½" . Casodex 50mg three times a week, Dostinex (0.25mg) twice a week and Avodart every day. After three years, my PSA is 1.14.

 

UPDATED

August 2008

 

 

Saw the doctor last week - PSA now 0.79 ng/ml.

 

UPDATED

June 2009

 

 

Stu's PSA is now 1.76 ng/ml and he says:

Another ten months has gone by and I decided to take my Avodart three times a week also. My PSA has slowly gone up (gone down twice). My doubling time is now 18 months.

 

UPDATED

March 2010

 

 

My current treatment is Casodex 50 mgs every day, Avodart 0.5 three times a week, Dostinex 0.25 once a week.

My PSA continued to rise and when it reached 3.88, I decided to get a one month shot of Lupron to see if it would once again drive the PSA to undetectable. It did not. I will continue on Casodex and Avodart for another 30 days and repeat blood test. If it is still not dropping, I will decide on what further action to take.

 

UPDATED

February 2011

 

 

Ending my experiment with bicalutimide. PSA went from 1.63 to 3.93 in 60 days. Doubling time is now 1.6 months. Will receive 3 month shot of Lupron on February 22, 2011.

 

UPDATED

November 2011

 

About 6 months ago, my PSA started to rise again. Tried three one month shots of Lupron with Avodart daily. PSA only declined to 0.08. Following month 1.2. Last month 2.3.

Went on 150 mgs of Casodex for 20 days. PSA on 11/7/11 was 1.36. Not sure what I will try next.

Stu's e-mail address is: hockeystu2@yahoo.com