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Once again this group seems to be drifting towards 'all protons, all the time'.

Just to add a bit of balance, especially for those just deciding on a

course of treatment, there are other radiation therapies that are

successful at treating prostate cancer, and generally have few side

effects. Some recent posts seem to dismiss IMRT and other forms of

external photon radiation as having a high risk of side effects, but

I'm not really sure what the justification for this is. All radiation

treatments are likely to cause some side effects. Mostly, these will

be temporary and mild. Other forms of radiation treatment, like

brachytherapy, also typically have mild side effects. There are plenty

of web sites where you can get an idea of the type and duration of the

side effects you can expect for a particular treatment - for instance,

to get a handle on what to expect with brachytherapy, check out the

Seattle Prostate Institute site.

My own experience with brachytherapy has been great so far, after 3

months - very minor urinary side effects, essentially no change in my

quality of life.

My point is not to recommend one treatment over another, but just to

remind people 1) there are options out there - investigate them all

before making a decision, and 2) keep your options open - if your

insurance doesn't cover your preferred treatment, there is almost

certainly another treatment available to you that will also hopefully

kill your cancer and let you maintain your quality of life.

--

Bobinnv

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