Androgen deprivation therapy

[Valentine]

My urologist has recommended ADT for my prostate cancer which has not spread at this time. PSA reading currently 82. I have not had any treatments to date. Limited options in Phuket. 

Any experiences, recommendations? Thanks

[tonray]

A friend went down that road a few years back...there are some benefits and pitfalls to ponder. You should read a bit here:

 

https://www.uofmhealth.org/health-library/bc1054#:~:text=These drugs stop the body,the body from making testosterone.

[Sheryl]

There are many possible approaches to prostate cancer and a variety of individual factors need to be taken into consideration, including the patient's age, overall health, how aggressive the tumor is etc.

 

ADT is not usually indicated as a stand alone treatment in men with non metastatic prostate cancer. A combination of ADT and radiation therapy would be more usual.

 

I suggest you come to Bangkok for a second opinion. These are 2 very experienced western-trained urologists who are conservative in approach:

 

https://www.samitivejhospitals.com/doctor/detail/thanoo-choovichian

https://www.bumrungrad.com/en/doctors/Viroj-Chodchoy

 

Did you really mean PSA 82, or is there a missing decimal point?

[canopus1969]

7 hours ago, tonray said:

A friend went down that road a few years back...there are some benefits and pitfalls to ponder. You should read a bit here:

 

https://www.uofmhealth.org/health-library/bc1054#:~:text=These drugs stop the body,the body from making testosterone.

 A year after my prostatectomy we found my PSA had gone up to 0.35 so I started on Epigard - after just 3 months down to 0.03 which please me so hoping after the course to knock it down to zero

[Valentine]

On 11/28/2020 at 11:22 AM, Sheryl said:

There are many possible approaches to prostate cancer and a variety of individual factors need to be taken into consideration, including the patient's age, overall health, how aggressive the tumor is etc.

 

ADT is not usually indicated as a stand alone treatment in men with non metastatic prostate cancer. A combination of ADT and radiation therapy would be more usual.

 

I suggest you come to Bangkok for a second opinion. These are 2 very experienced western-trained urologists who are conservative in approach:

 

https://www.samitivejhospitals.com/doctor/detail/thanoo-choovichian

https://www.bumrungrad.com/en/doctors/Viroj-Chodchoy

 

Did you really mean PSA 82, or is there a missing decimal point?

82 not 8.2. Just over 2 years ago it was 22 & then diagnosed with prostate cancer. In 1 year it climbed rapidly to 62, now increasing more slowly. Travel could be difficult as recently discovered some degenerative bone problem in lower back which is  extremely painful and severely restricts mobility. MRI 10 days ago showed no indication of spreading cancer

[soalbundy]

27 minutes ago, Valentine said:

82 not 8.2. Just over 2 years ago it was 22 & then diagnosed with prostate cancer. In 1 year it climbed rapidly to 62, now increasing more slowly. Travel could be difficult as recently discovered some degenerative bone problem in lower back which is  extremely painful and severely restricts mobility. MRI 10 days ago showed no indication of spreading cancer

As Valentine said age also has to be taken into account, my father (now deceased from a heart attack) was diagnosed with PC at 79 yrs old when in Australia, the doctor recommended radiotherapy and told him he would die with the cancer but not because of it, he was right. I don't know what his PSA count was.

Edited November 29, 2020 by soalbundy

[Boomer6969]

41 minutes ago, Valentine said:

Travel could be difficult as recently discovered some degenerative bone problem in lower back which is  extremely painful and severely restricts mobility.

Did you get a scintigraphy? If not I'd run to see a proper doctor. Seriously.

[Sheryl]

11 hours ago, Boomer6969 said:

Did you get a scintigraphy? If not I'd run to see a proper doctor. Seriously.

 

As above.

 

Your PSA is sky high and I would not rely on local doc's interpretation of the MRI.

 

I know it is difficult but really worth making a trip into Bangkok. (bring CD of the MRI with you)