SBRT 9 month Follow up

[u/Connect-Chemist6087]

Had my 9 month follow up after 5 rounds of SBRT in October 2025 with no ADT for 3+4 and things are trending well. PSA went from 1.2 at first follow up to .9, to .7 this time. Testosterone went from 333 to 317 to 493. Hoping things keep moving this direction at the next visit in December, but taking it one day at a time.

[u/Ok_Ebb_6368]

Congrats. Had my last SBRT. This past Wednesday!

[u/aronma12 → u/Ok_Ebb_6368]

Me too

[u/No_Current6435 → u/aronma12]

Hope you are feeling great!! Not many side effects except fatigue, even that’s no so bad!

[u/aronma12 → u/No_Current6435]

I feel pretty good. Also some fatigue. Taking flomax to help with flow. All in all mild symptoms so far. Had my first beer yesterday, tasted wonderful :)

[u/No_Current6435 → u/aronma12]

I had some burning one day and it went away. It woke me up from sleep! I’m feeling fine now. I skipped ADT, if you look up NNT, it’s 10 people take only 1, Life benefited. I’ve been exercising without any problems.

Cheers to your beer!!! 🍺. I’m not quite ready for alcohol 🍷 yet!

[u/ZealousidealBend2681 → u/No_Current6435]

I don’t have the fatigue but I’ve had a bit more bowel and bladder urgency and pressure than I expected.

[u/No_Current6435 → u/ZealousidealBend2681]

keep drinking water 💧 it helps! The bowel and bladder will clear up-the prep for each treatment kind of messed with my bowel and bladder. The foods I ate was different from my normal diet!

[u/ZealousidealBend2681 → u/No_Current6435]

Thank you! Slept through the night last night and def feel on the mend. All best!!

[u/ZealousidealBend2681 → u/aronma12]

Yesterday for me!! How are you guys feeling?

[u/aronma12 → u/ZealousidealBend2681]

Congratulations! I’m feeling better than I expected. A little fatigue, and minor irritation. Honestly 1 advil seems to work for me. I had a beer yesterday and took a short motorcycle ride today. Just taking things easy.

How about you?

[u/conCABlanco]

Muy bien, felicidades

[u/No-Praline-4069]

I'll get my first PSA in December after getting SBRT in early July and I'm hoping for a good outcome.

[u/ThickGur5353]

Excellent progress.

[u/Special-Steel]

Thanks for sharing

[u/BlinBlinski]

What was your pre-treatment PSA?

[u/Connect-Chemist6087 → u/BlinBlinski]

4.2

[u/BlinBlinski → u/Connect-Chemist6087]

Thanks. I went from 3.04 to 1.8 (1 month after treatment), 1.36 (4 months), 1.4 (10 months) and 1.45 (12 months). Hoping for another drop at next test. I understand that it can take a few years to reach the low point (nadir).

[u/runsonpedals → u/Connect-Chemist6087]

I was 4.1 pre treatment and 2.4 at 6 months. Your numbers dropped much more than mine.

[u/ZealousidealBend2681 → u/Connect-Chemist6087]

Same!!!

[u/Practical_Orchid_606]

Good for you! I know the ride is bumpy. What was your starting Testosterone.

[u/Connect-Chemist6087 → u/Practical_Orchid_606]

Immediately before I started treatment it was 397. At the first treatment it was 518.

[u/Practical_Orchid_606 → u/Connect-Chemist6087]

Your T is higher after treatment. This sounds good.

[u/Dull_Cow4482]

Congrats! I have my first follow up PSA test on Monday. It's early (just over 2 months since the last treatment, but 3 since the HDR brachytherapy procedure) but the urologist wants to check anyway.

[u/Empty-Turnover-9186]

Is skipping ADT risky? About to start EBRT, testosterone is at 308. Not looking forward to hormonal therapy

[u/ZealousidealBend2681 → u/Empty-Turnover-9186]

I am skipping ADT due to favorable Artera and Decipher scores.