My situation is somewhat atypical since I have pre-existing pelvic nerve damage. However I followed the standard advice and read, talked to friends, and got several (3) medical opinions. All doctors recommended radiation because of my condition and I am almost done with IMRT (42 sessions, total dose 7560 cGy).

So far side effects are minimal and I have continued my usual daily activities, except for an hour in the day (40 minutes traveling to and from the hospital hospital and 20 minutes of Rx). I will keep you updated and welcome questions about IMRT.

PSA has decreased from 4.7 to 2.7 at 6 months to 1.4 at one year. No symptoms but a slight increase in Bowel Movement frequency but that is slowly improving.

PSA has decreased from 1.4 at one year to 0.90 at 18 months.

PSA at 24 months increased slightly to 1.3 (false increase due to ejaculation 2 days prior to test) but resumed downward pace 3 months later to 0.6.

Prior PSA 6 months ago was 0.8. Now it is 0.69. No therapy needed.

PSA 0.58 ng/ml.

PSA 6 months ago was 0.61. Now it is 0.68

PSA 7/25/12 = 0.85; PSA 10/15/12 = 0.70; PSA 3/18/13 = 0.91 Then instituted nutritional regime of soy (nuts, milk, ice cream), selenium (Brazil nuts), anti-oxidants (pomegranate juice, kale). PSA 7/15/13 = 0.66

Continue my nutritional therapy which consists of soy products, kale, pomegranate juice, Brazil nuts, and now tumaric. Discontinued saw palmetto on advice of nutritionist. Major agent is probably soy (nuts, chips, milk. ice cream) since this is most consumed.

Current PSA 0.58

PSA 0.83 Continue dietary regime as previously outlined, but have reduced soy by 50% because of mild GI symptoms (gas, frequent bowel movements).

PSA's below 1 for last several years. Dietary regime same with addition of cooked mushrooms and less soy products.

Completely without symptoms. PSA remains less than 1.0.

Continuing with dietary treatment (as outlined previously). PSA remains stable below 1.0.

Continue only dietary therapy as outlined prior.

Since the PSA is rising (3/12/20-1.06, 10/5/20-1.12) will reinstitute nutritional therapy as noted in earlier posts.

PSA as of April 22, 2022 is 1.7. Since this may be artificially elevated due to topical steroid use (beclomethazone) it will be repeated.

Recent PSA of 1.2 has decreased from previous. As expected the elevation was a side effect of the heavy use of topical Beclomethazone.

Everything is A-OK. Please be aware that penile size reduction is seen with adavaned age, but the radiation that I recieved as treatment may have contributed.

CSN's e-mail address is: bcr1 AT yahoo.com (replace "AT" with "@")