Ejaculation and orgasms after treatment

My IMRT was in September 2004, followed by Pd-103 seeds in October.
Inova, just outside Washington DC did the treatment.

I'm just past the 2 year point.

It took 6 months for the Lupron to wear off and erections to return.
That's 6 months after the 4 months that the shot supposedly lasted.

By that time, my semen volume had fallen to a quarter teaspoon, maybe a
half. Ejaculation changed from the normal squirt-squirt-squirt to a
lazy dribble, an ooze, a seepage.

The dribble isn't as satisfying as squirting. Sometimes, it seems
almost like before. Mostly, it's just OK.

Is this what it was like for you?

Does it get "better" over time?

How does the seeding and external radiation change squirting into
dribbling?

At first I thought that the "muscular" prostate contracted at orgasm.
The radiation damaged the prostate to the point that it could not
contract and force the semen to spurt.

I did some web searches and found suggestions that at orgasm, the
"urethral bulb", a cavity at the base of the penis surrounded by
muscles, does the contracting at orgasm.

If the urethral bulb and not the prostate, does it, is it the external
radiation that weakens the orgasm and ejaculation?

Do guys who only got seeds have better orgasms and ejaculation?

What about surgery? What are orgasms like, is there any force to the
ejaculation?

-kh

<tchtic@yahoo.com> wrote in message


> What about surgery? What are orgasms like, is there any force to the
> ejaculation?

No need for it--- no prostate, no semen. Everyone's individual. Can't say
at 68 I miss it. Otherwise things feel normal.

On 18 Nov 2006 05:51:01 -0800, tchtic@yahoo.com wrote:


>What about surgery? What are orgasms like, is there any force to the
>ejaculation?
>
>-kh

The force is the same for me, and the feeling is the same, despite
being dry.

Actually, the feeling is better than the 6 months prior to surgery,
when I was taking Flomax. That seemed to greatly diminish the
pleasure.

tchtic@yahoo.com wrote:
>
> By that time, my semen volume had fallen to a quarter teaspoon, maybe a
> half. Ejaculation changed from the normal squirt-squirt-squirt to a
> lazy dribble, an ooze, a seepage.
>

I had a similar probem with the ooze before any treatment. I wondered
if the cancer was effecting the gland to cause it. My uro said no. He
said it was a normal part of aging. I'm 58.

I had my iodine seeding on 10/23 and just finished my first five days
of IMRT and I can tell the quantity of semen is down by about half, to
about a half teaspoon. The blood disappeared about a week ago. I'm
hoping when the radiation wears off the quantity may come back up for a
while, but I think I read that the quantity will go down over the long
run after radiation.

I have read that porn stars do exercises to improve the force of flow.
I would guess these are something like kegels. It could be that your
muscle have atrophied during your down time.

Let us know if you fine a good solution.

John

RML wrote:
> On 18 Nov 2006 05:51:01 -0800, tchtic@yahoo.com wrote:
>
>
> >What about surgery? What are orgasms like, is there any force to the
> >ejaculation?
> >
> >-kh
>
> The force is the same for me, and the feeling is the same, despite
> being dry.
>
> Actually, the feeling is better than the 6 months prior to surgery,
> when I was taking Flomax. That seemed to greatly diminish the
> pleasure.

2 samples doesn't prove anything but it's interesting that you and
Claude, who I believe also went surgery, report a "good" and not a
diminished feeling.

Could it be that the IMRT hits the muscles surrounding the urethral
bulb, weakens them such that they can't convulse?

I wonder if it gets any better with time. I have noticed subtle
changes. At 2 years, I produce more semen than at 1 year and at 18
months. Erections are firmer. I wouldn't call them great and it takes
a LOT of fantasizing and gentle stroking to perk it up.

Anyone else notice orgasm changes at 1, 2, 3, 4 years?

-kh

<tchtic@yahoo.com> wrote in message
news:1163867920.694039.138130@h48g2000cwc.googlegr oups.com...
>
> RML wrote:
>> On 18 Nov 2006 05:51:01 -0800, tchtic@yahoo.com wrote:
>>
>>
>> >What about surgery? What are orgasms like, is there any force to the
>> >ejaculation?
>> >
>> >-kh
>>
>> The force is the same for me, and the feeling is the same, despite
>> being dry.
>>
>> Actually, the feeling is better than the 6 months prior to surgery,
>> when I was taking Flomax. That seemed to greatly diminish the
>> pleasure.
>
> 2 samples doesn't prove anything but it's interesting that you and
> Claude, who I believe also went surgery, report a "good" and not a
> diminished feeling.
>
> Could it be that the IMRT hits the muscles surrounding the urethral
> bulb, weakens them such that they can't convulse?
>
> I wonder if it gets any better with time. I have noticed subtle
> changes. At 2 years, I produce more semen than at 1 year and at 18
> months. Erections are firmer. I wouldn't call them great and it takes
> a LOT of fantasizing and gentle stroking to perk it up.
>
> Anyone else notice orgasm changes at 1, 2, 3, 4 years?

I don't remember exactly how old you are....in your 50's?....but from my
40's onward I noticed a decline in the firmness of my erections. You may
reach a point where you think it isthe radiation that is responsible for the
erectile decline....and perhaps diminished sensation in orgasm....when
really your age is a more important factor. It's hard for those of us who
do recover most of our function after a long period to determine how much
of any decline is due to treatment or just to aging. Rught now, I'm
perfectly happy where I am in that regard (and there's no wet spot that
someone has to sleep in :-) ).
Claude

Claude.

tchtic@yahoo.com wrote:

> What about surgery? What are orgasms like, is there any force to the
> ejaculation?

HELL, yes. It's just urine, but the volume and power is greater than
when I was 20. It's often dry, but I'd guess that more than half the
time, despite voiding in advance to stem the tide, I'll eject an ounce
or three with considerable force.

I.P.

<tchtic@yahoo.com> wrote in message
news:1163857861.202219.181400@h54g2000cwb.googlegr oups.com...
> My IMRT was in September 2004, followed by Pd-103 seeds in October.
> Inova, just outside Washington DC did the treatment.
>
> I'm just past the 2 year point.
>
> It took 6 months for the Lupron to wear off and erections to return.
> That's 6 months after the 4 months that the shot supposedly lasted.

Exactly the same for me. 4 months worth of injections, 6 months
worth of testosterone suppression.

> By that time, my semen volume had fallen to a quarter teaspoon, maybe a
> half. Ejaculation changed from the normal squirt-squirt-squirt to a
> lazy dribble, an ooze, a seepage.

Also same for me.

> The dribble isn't as satisfying as squirting. Sometimes, it seems
> almost like before. Mostly, it's just OK.
>
> Is this what it was like for you?

Yes, though I think aging has something to do with this
too. Is it as satisfying? Well, it's different, like being 60 years
old is different from being 20 or 30. I'm just glad I'm still alive
and having sex at all. There's lots of guys our age who don't,
for reasons other than prostate radiation.

> Does it get "better" over time?

My treatment will be 3 years ago in January. So far, it hasn't
improved and hasn't gotten worse.

> How does the seeding and external radiation change squirting into
> dribbling?

I asked my rad onc that question once. He gave me a complicated
answer that I don't remember. If you get an answer, please post
it for the rest of us.

> At first I thought that the "muscular" prostate contracted at orgasm.
> The radiation damaged the prostate to the point that it could not
> contract and force the semen to spurt.
>
> I did some web searches and found suggestions that at orgasm, the
> "urethral bulb", a cavity at the base of the penis surrounded by
> muscles, does the contracting at orgasm.
>
> If the urethral bulb and not the prostate, does it, is it the external
> radiation that weakens the orgasm and ejaculation?
>
> Do guys who only got seeds have better orgasms and ejaculation?
>
> What about surgery? What are orgasms like, is there any force to the
> ejaculation?

I can't answer any of those questions but I'll propose another
speculation. Maybe a weakening of erections has something
to do with it. Maybe the problem is not so much lack of force
propelling the ejaculation as lack of resistance holding it back
to create a buildup of pressure. Maybe a strong erection clamps
down on the urethra, holding back the ejaculate and building
up that pressure.

If that's true, then days when you have a strong erection (maybe
a long time since the last sex, heavy dose of Viagra, and/or
particularly vivid imagination) will produce more satisfying results
in the above sense than other days.

Sex and sensuality are such psychological things that the
satisfaction we get from them seems to me quite complex.
If some parts of it don't work like they used to, we can often
compensate by cultivating our appreciation of the other parts.

Alan

"Alan Meyer" <ameyer2@yahoo.com> wrote in message
news:Ab6dnenm1_0nw8LYnZ2dnUVZ_sSdnZ2d@comcast.com. ..
>
> Sex and sensuality are such psychological things that the
> satisfaction we get from them seems to me quite complex.
> If some parts of it don't work like they used to, we can often
> compensate by cultivating our appreciation of the other parts.

Well said :-)

Mary
>
> Alan
>

I was on a BPH med (I think flomax) that, after a few years, started to
cause a 'dry ejaculation' which means hardly anything and it wasn't very
satisfying--like the orgasm was cut short. I was then put on xatral and all
went normal again.
Wayne

Claude wrote:

>
> I don't remember exactly how old you are....in your 50's?....but from my
> 40's onward I noticed a decline in the firmness of my erections. You may
> reach a point where you think it isthe radiation that is responsible for the
> erectile decline....and perhaps diminished sensation in orgasm....when
> really your age is a more important factor. It's hard for those of us who
> do recover most of our function after a long period to determine how much
> of any decline is due to treatment or just to aging. Rught now, I'm
> perfectly happy where I am in that regard (and there's no wet spot that
> someone has to sleep in :-) ).
> Claude
>
> Claude.

In my case, I don't think it's normal aging. I was diagnosed at 57 in
late spring 2004. Prior to treatment I was good for several long
sessions each week. I looked to be in my early 40's and still do.

The Gleason 7 (4+3) and the 10+ PSA lead to the full court press, 8
months of Lupron-depot, 25 IMRT treatments from Inova's Linear
Accellerator, and 97 Pd-103 seeds in fall of 2004.

Between summer 2004 when the cute nurse jammed the horse needle of
Lupron in my butt and until summer 2005, as my Testosterone gradually
increased, I had zero libido and, well, my-cox-a-floppin. (I love
that joke, about the name for the generic Viagra)

After summer 2005, my libido gradually increased. I noticed that women
weren't just funny looking guys and the way their boobs jiggled was
interesting.

The Uro-doc gave me samples of Vitamin-V and Vitamin-Cialis and I
filled a perscription. For the next 6 months, fall 2005 through
spring of this year, I experimented with taking a full 50 of Vitamin-V.
It gave me a headache but got it up enough for penetration. This is
more than stuffable but I can't crack walnuts with it.

As the months passed, my libido has improved very gradually. Erections
and orgasms too.

It's hard to express this in words but I'm at 70%, 80% as far as
firmness and experiential quality. You know how, sometimes, even
when you were younger, an orgasm might be just OK?

Maybe you were tired and it was the third time in two days?

This is in contrast to when it'd been 3 or 4 months and you got a date
with that older woman, you were in college and she was a 30'ish grad
student, runway model good looks, blonde, blue eyes, smallish perky
boobs.

I'm in the just OK period.

I hope things continue to improve. I have to work on my overall
health, work off the Lupron belly, get my stamina back, upper body
strength, cardio. The weak erections and mild orgasms are just part
of it.

-kh

<tchtic@yahoo.com> wrote in message
news:1163937758.477851.74310@h54g2000cwb.googlegro ups.com...

> After summer 2005, my libido gradually increased. I noticed that women
> weren't just funny looking guys and the way their boobs jiggled was
> interesting.

> I hope things continue to improve. I have to work on my overall
> health, work off the Lupron belly, get my stamina back, upper body
> strength, cardio. The weak erections and mild orgasms are just part
> of it.

kh,

I assume you had another PSA recently. As I recall, it's be steadily rising
sinse going off HT. What was the result and what are your plans for that in
the future? If you don't mind me asking.




--
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

Steve Kramer wrote:

> I assume you had another PSA recently. As I recall, it's be steadily rising
> sinse going off HT. What was the result and what are your plans for that in
> the future? If you don't mind me asking.

I'm working on an Excel analytical tool for PSA's after treatment.
I'll have another PSA drawn in mid-December.

My PSA is rising and the docs don't like it. <----<<<<

The 8 months of Lupron and subsequent 6 months or so of surpressed T,
drove my PSA to <0.1.

After that, my PSA rose in a straight line to 6.4 this summer. This is
alarming.

Some considerations:

1) the Lupron caused a false low for a year or so.

2) studies suggest that younger men have a more pronounced "bounce"

3) my PSA is rising into the 18-24 month "bounce" zone.

4) This isn't substantive but I've read that a "bounce" suggests a
better long term outcome, maybe, in some cases, now and then, whatever,
who-the-F-knows.

5) during the 18-24 period and now, at 25 months, I've got some
urethral burning while pee'ing. I'm also passing a couple drops of
blood a few times a month.

6) at the CAT-scan assessment after treatment, the Rad-doc practically
crowed about how even and accurate his seeds were placed. Then this
spring and summer, when we talked about the rising PSA, he kept
pointing to his CAT-scans and shaking his head, "this was perfect
work." and "I gave you xxxx Grays."

As a data/science person, this suggests the cancer and prostate cell
die-off is more effective with even distribution. No hot or cold
spots. An even distribution kills off the cells in sync. They all go
at once, at 18-24 months.

If the die-off happens in sync, that *might* be confirmed by the
burning and passing a few drops of blood.

If it happens in sync, the PSA "might" rise higher than a
less-than-perfect job.

This is all my speculation.

7) a 6.4 IS HIGH. However it's not the highest that the Rad-doc is
seeing. It's also 60% of my pre-treatment high. Kinda like a bounce
to 2.0 for someone who had a 3.0 going in.

8) I've collected case studies of bounces that ultimately resolved. I
have these in a spreadsheet and am working on "generalizing" the sheet
so that anyone can enter their numbers and chart against other PSAs.
When I'm done, I'll publish it to a website for others to use.

So far, I am "in range", even with the 6.4. The question is my PSA at
the 3 year point, that's October 2007.

9) I told the Rad-doc, I clocked a steady, level 9.6, 10, 9.8 for
several years, the treatment drove it to <0.1 and now it's rising with
a 2 month doubling time, what did you do, anger it???

=======

As for what I plan to do, I donno.

I figure I gave it my best shot. 8 months of Lupron (mull over the
reports of 6 months treatment being better than 2 years.) 25 sessions
on the IMRT, the Pd-103 seeds.

I'll be 60 next month. My dad died from a stroke in his early 50's.

The rad doc raised the possiblity of trying a salvage radical or cryo.
>From what I've read here, forget that. Having a salvage treatment and
spending the next 10 years in diapers and impotent isn't very
attractive.

Like I told a pal the other day (she's caring for two older relatives
and was depressed about her own aging, the cost of nursing care.) Maybe
the retirement plan for us is to take up shark wrestling.

She brightened up and allowed that sky-diving could work for her.

My plan is to live. Work hard, get more exercise, home repairs, treat
myself and others well, take a vacation.

I know people who are 40, 50, 60, who are afraid to live. I'm not
talking about shark wrestling. They spend their days watching TV,
drinking themselves to sleep, wallowing in their misery, praying for
salvation, complaining about having to work and losing their pensions
in 2000-2001, waiting for Mr. or Ms Right.

If I've got 10 years, I'm going to live more EACH year than they do in
20.

That's the plan.

-kh

kh...You might be interested in the "bounce" information Don Cooley has
collected over at
http://www.psabounce.prostate-help.org/
....Best wishes and good health, ron


tchtic@yahoo.com wrote:
> Steve Kramer wrote:
>
> > I assume you had another PSA recently. As I recall, it's be steadily rising
> > sinse going off HT. What was the result and what are your plans for that in
> > the future? If you don't mind me asking.
>
> I'm working on an Excel analytical tool for PSA's after treatment.
> I'll have another PSA drawn in mid-December.
>
> My PSA is rising and the docs don't like it. <----<<<<
>
> The 8 months of Lupron and subsequent 6 months or so of surpressed T,
> drove my PSA to <0.1.
>
> After that, my PSA rose in a straight line to 6.4 this summer. This is
> alarming.
>
> Some considerations:
>
> 1) the Lupron caused a false low for a year or so.
>
> 2) studies suggest that younger men have a more pronounced "bounce"
>
> 3) my PSA is rising into the 18-24 month "bounce" zone.
>
> 4) This isn't substantive but I've read that a "bounce" suggests a
> better long term outcome, maybe, in some cases, now and then, whatever,
> who-the-F-knows.
>
> 5) during the 18-24 period and now, at 25 months, I've got some
> urethral burning while pee'ing. I'm also passing a couple drops of
> blood a few times a month.
>
> 6) at the CAT-scan assessment after treatment, the Rad-doc practically
> crowed about how even and accurate his seeds were placed. Then this
> spring and summer, when we talked about the rising PSA, he kept
> pointing to his CAT-scans and shaking his head, "this was perfect
> work." and "I gave you xxxx Grays."
>
> As a data/science person, this suggests the cancer and prostate cell
> die-off is more effective with even distribution. No hot or cold
> spots. An even distribution kills off the cells in sync. They all go
> at once, at 18-24 months.
>
> If the die-off happens in sync, that *might* be confirmed by the
> burning and passing a few drops of blood.
>
> If it happens in sync, the PSA "might" rise higher than a
> less-than-perfect job.
>
> This is all my speculation.
>
> 7) a 6.4 IS HIGH. However it's not the highest that the Rad-doc is
> seeing. It's also 60% of my pre-treatment high. Kinda like a bounce
> to 2.0 for someone who had a 3.0 going in.
>
> 8) I've collected case studies of bounces that ultimately resolved. I
> have these in a spreadsheet and am working on "generalizing" the sheet
> so that anyone can enter their numbers and chart against other PSAs.
> When I'm done, I'll publish it to a website for others to use.
>
> So far, I am "in range", even with the 6.4. The question is my PSA at
> the 3 year point, that's October 2007.
>
> 9) I told the Rad-doc, I clocked a steady, level 9.6, 10, 9.8 for
> several years, the treatment drove it to <0.1 and now it's rising with
> a 2 month doubling time, what did you do, anger it???
>
> =======
>
> As for what I plan to do, I donno.
>
> I figure I gave it my best shot. 8 months of Lupron (mull over the
> reports of 6 months treatment being better than 2 years.) 25 sessions
> on the IMRT, the Pd-103 seeds.
>
> I'll be 60 next month. My dad died from a stroke in his early 50's.
>
> The rad doc raised the possiblity of trying a salvage radical or cryo.
> >From what I've read here, forget that. Having a salvage treatment and
> spending the next 10 years in diapers and impotent isn't very
> attractive.
>
> Like I told a pal the other day (she's caring for two older relatives
> and was depressed about her own aging, the cost of nursing care.) Maybe
> the retirement plan for us is to take up shark wrestling.
>
> She brightened up and allowed that sky-diving could work for her.
>
> My plan is to live. Work hard, get more exercise, home repairs, treat
> myself and others well, take a vacation.
>
> I know people who are 40, 50, 60, who are afraid to live. I'm not
> talking about shark wrestling. They spend their days watching TV,
> drinking themselves to sleep, wallowing in their misery, praying for
> salvation, complaining about having to work and losing their pensions
> in 2000-2001, waiting for Mr. or Ms Right.
>
> If I've got 10 years, I'm going to live more EACH year than they do in
> 20.
>
> That's the plan.
>
> -kh

tchtic@yahoo.com wrote:

> If I've got 10 years, I'm going to live more EACH year than they do in
> 20.
>
> That's the plan.

That plan works! By that standard, I'm 823 years old now, and may die at
about 1,023. I may have died seven figures richer without that plan, but
it would have been 950 years earlier.

When we were leaving college, Hal said "Well, it's all downhill now.
Time to get a Lazy Boy and a big-screen (TWENTY-ONE INCHES!) TV". Until
I laughed and he didn't, I though he was joking. I'm guessing Hal died
of psychological old age about 770 years ago.

There's more to life than money and/or years.

I.P.

JohnHace wrote:

>
> I have read that porn stars do exercises to improve the force of flow.
> I would guess these are something like kegels. It could be that your
> muscle have atrophied during your down time.
>
> Let us know if you fine a good solution.

I looked around the Internet and didn't find much.

I did find a site that discusses the bulb muscle.

========================
Bulb muscle contraction is also erogenous, that is, it triggers a deep
sexual sensation, which stimulates /encourages /forces thrusting to
ejaculation. (Incidentally, bulb muscles are also known, erroneously,
as "pc muscle," short for pubococcygeus which is a muscle in the
actual floor of the pelvis totally unrelated to true bulb muscle, which
is wrapped around the root or bulb of the penis. The root of the penis
is easily felt because it is suspended from the pelvic floor like a
gondola below a hot-air balloon.

The functional part of our information is based on internet surveys and
has to be interpreted accordingly. As I said, stretching of ridged band
triggers a series of events which appear to be important for "intact
intercourse." It follows that intercourse with the help of an intact
prepuce is not necessarily dependent upon direct glans stimulation.

However, this does not mean that the glans penis has no important
function in intact intercourse. Our initial internet study supports the
idea that reflex bulb muscle contraction triggered by ridged band
stretching compresses the bulb of the penis. We all know that bulb
muscle contraction compresses the urethra. It seems that compression of
the bulb of the urethra itself, essentially a swelling of bulbous
spongiosum surrounding the male urethra, sends a pulse wave to the
glans penis. This bulbar pulse wave causes the glans to expand,
triggering secondary reflex contraction of bulb muscles and so on and
so on.

=======================
http://research.cirp.org/news1.html

This suggests that your idea of "exercises" might work Maybe the
radiation or surgery damages the bulb muscle.

In my case, there is some weak pulsing so perhaps I can tone up with
Kegels.

I sure would like to get the squirt back, even if I only shoot out a
half teaspoon of thin-looking fluid, that'd be a nice improvement.

-kh

<tchtic@yahoo.com> wrote in message
news:1163943781.611038.138300@m7g2000cwm.googlegro ups.com...

> My plan is to live. Work hard, get more exercise, home repairs, treat
> myself and others well, take a vacation.
>
> I know people who are 40, 50, 60, who are afraid to live. I'm not
> talking about shark wrestling. They spend their days watching TV,
> drinking themselves to sleep, wallowing in their misery, praying for
> salvation, complaining about having to work and losing their pensions
> in 2000-2001, waiting for Mr. or Ms Right.
>
> If I've got 10 years, I'm going to live more EACH year than they do in
> 20.

Well, you are taking it very well, I must say. I graphed it in Excel and it
looks alarming. But, I'm no expert on Brachy and bounces.

--
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

Steve Kramer wrote:
> I graphed it in Excel and it looks alarming.

No. It looks like it looks.

I'm tracking mid range in modern bounces. This does not mean that
alls well.

Anyone can fail at 5 and 10 years. Surgery, Rad, any treatment can
fail.

The catch with rad is that it kills the cancer over a few years and,
one theory, is that at the time that the cells die off, they release
PSA.

An even distribution of seeds, a thorough pattern of radiation applied
to a healthy, younger patient *seems* to result in a more pronounced
bounce.

Similarly, for those who do bounce, the higher bounces *seem* to result
in better, long term outcomes.

Looping back in the train of thought, the even distribution of seeds, a
more complete pattern of radiation, and a younger, healthier patient,
where the cancer was detected through the rising PSA and subsequently
biopsy and not because of "symptoms", suggests a better, long term
outcome.

The fact that the rad doc was pleased with his handiwork and then, 2
years later, shaking his head, speaks for another mechanism than the
traditional, Higher PSA = BAD.

I'm not saying that I've got it figured out or that I may not be in
treatment failure. There's a chance of treatment failure.

I'm saying that I won't know until seeding +36 months at the earliest.


Consider this. I was treated in 2004. CAT-Scan guided IMRT and
ultrasound aligned Pd-103 seeds. Modern stuff, probably didn't exist
five years earilier, certainly didn't 10 years earlier.

I was diagnosed via PSA, biopsy, and MRI, not the golden finger.

The scientist in me says that this is a dandy research topic. Early
detection, early treatment, more accurate and complete than in the
past.

Maybe the cancer and healthy, younger prostate cells die off in
synchronization at 18 to 24 months and PSA bounces are higher than
before?

If not, I figure that modern medicine and I gave it my best shot.

A guy gave me a $50 bottle of wine for helping him with a project.
I'll be drinking it with a woman and we'll make whoopie like . it's .
19 . 99.

A year after the treatment, I got a consulting contract, it gave me a
jump in income and it's fascinating work.

I see that you publish your email address. I'll send you the current
Excel spreadsheet. This is very preliminiary but should give you an
idea as to where I'm going.

-kh

<tchtic@yahoo.com> wrote in message
news:1163943781.611038.138300@m7g2000cwm.googlegro ups.com...
....
> My plan is to live. Work hard, get more exercise, home repairs, treat
> myself and others well, take a vacation.
> ...
> If I've got 10 years, I'm going to live more EACH year than they do in
> 20.
>
> That's the plan.

That's an excellent plan.

Some of us have been cured by treatment. Some of us have
not. But all of us are old enough to be way past the half way
point in out lives. For any who haven't done it, it's time to take
stock of how we're doing and what we want to do with the time
left.

I want to do the same things as you. I want to take care of my
family and leave a happy remembrance of me behind. I want
to spend time with friends - which, by the way, is the way I think
of a lot of what I do in this group. I'd like to do a little bit of good
if I can. And I think I'll have another look at the Marxist classics -
the ones by Groucho, Harpo and Chico, and have a good belly
laugh along the way.

Alan

tchtic@yahoo.com wrote:
> No. It looks like it looks.
>
> I'm tracking mid range in modern bounces. This does not mean that
> alls well.
>
> Anyone can fail at 5 and 10 years. Surgery, Rad, any treatment can
> fail.
>

Did you check your PAP before treatment? Datolli has been tracking this
and says it is a better indicator of success with radiation than PSA or
Gleason. I believe for PAP scores under 1.5 it is a 98% success rate
regardless of PSA or Gleason.

John

another
> speculation. Maybe a weakening of erections has something
> to do with it. Maybe the problem is not so much lack of force
> propelling the ejaculation as lack of resistance holding it back
> to create a buildup of pressure. Maybe a strong erection clamps
> down on the urethra, holding back the ejaculate and building
> up that pressure.
Being one who has neither erections nor ejaculate, and had fairly major
damaging salvage radiation after RRP, I'd have to speculate that the
psychological side of all of this is considerable. Orgasms, dry because
of the AMS 800, can be quite intense. Or not. None of the physical
variables you mention are present in my case.
>
> Sex and sensuality are such psychological things that the
> satisfaction we get from them seems to me quite complex.
> If some parts of it don't work like they used to, we can often
> compensate by cultivating our appreciation of the other parts.
>
> Alan
>
>

JohnHace wrote:

>
> Did you check your PAP before treatment? Datolli has been tracking this
> and says it is a better indicator of success with radiation than PSA or
> Gleason. I believe for PAP scores under 1.5 it is a 98% success rate
> regardless of PSA or Gleason.


No, didn't know about it. I looked it up in Wikipedia. I don't think
that was in any of my panels.

-kh