I am a 57 year old surgeon who had been following a rising PSA over a few years. When my level reached 4.8, I obtained an MRI scan which showed 0.7 mm mass in my left prostate. Rectal normal. Rest seemed clear. A decision was made to see Dr. Leonard Marks at UCLA for a targeted biopsy of the mass only. 2 positive for G7 and unfortunately 1 for a G9. 3 biopsies total. After mulling through all my options I decided to go with Dr. Christopher King at UCLA for targeted SBRT treatment. At the time of treatment PSA was 5.8 and 5 high dose treatments to the whole prostate, seminal vesicles and neuro bundle as well as to pelvic nodes. No nodes or mets found on pre-treatment scans. PSA post radiation 0. To quote a friend of mine "you own this problem" and each person must make the best choice for him. No correct answers that I could find. Currently on 9 months of hormones and feel tired at the end of the day. No major problems with the targeted SBRT. Best wishes to all.
I have finished my ADT 3 months ago. Night sweats have gone down but still have them. Energy is better but joints are still sore which I assume was due to the ADT. Overall all symptoms less. Total ADT was 9 months. The only issue is that when I need to have a bowel movement I really need to go.
Received my PSA and again undetectable. I thank the Lord for this.
I will update in 6 months and take care.