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Prostate.

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Old 31st Mar 2012, 03:53
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Prostate.

How long is a Class 1 Medical suspended for if one has surgery for a prostate problem? Also, if the treatment is Ultrasound or Laser, how long is the recovery before returning to professional flying?

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Old 31st Mar 2012, 04:27
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Is anyone offering ultrasound now? Well, apart from the people that have invested a fortune in the ablation equipment.

L@ser? New one on me. Is this used with the da Vinci machine?

Are you too late to go with brachytherapy? Gleason of 7 - ish is the maximum I think. Agressive way round: 4+3, is about tops for brachytherapy. Cancer has to be contained within the prostate.

Southend and Cambridge offered it a while back. There may be more places now. All over in a couple of sessions. BUT, the prostate can no longer be removed once you've had this treatment.
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Old 31st Mar 2012, 15:27
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A prostate problem is not necessarily prostate cancer. Laser treatment is often used in Britain for a TURP which in turn is a procedure which can be used to shrink the prostate down to the maximum size greater than which brachytherapy becomes problematic. A TURP can also be scheduled if the prostate were so large as to induce retention and, in Britain again, the necessity for self catheterization.
Brachytherapy is on offer at Addenbrookes Hospital, Cambridge. They perform a limited number each year and therein lies one of the main problems with brachytherapy in Britain, finding the one urologist and the one nuclear radiologist who have done enough of the procedures so as to be able to eliminate most of the unpleasant after effects.
As to the original question and speaking off the cuff, I would imagine that, having notified the CAA medical section of your problems, they will send you a protocol schedule for completion by your specialist for submission to your AME when you go to see him to have your temporary medical suspension lifted.
I would imagine that six weeks recovery would be a sensible ball park figure.
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Old 31st Mar 2012, 16:04
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l@ser treatment is often used in Britain for a TURP which . . .

That's interesting, though in my case, academic. However, before being diagnosed, I was experiencing an ever increasing restriction to flow. Being a bloke, I wanted to self-treat for enlarged. Strange how many blokes kill themselves with prostate cancer.

Please, anyone reading this, do your research and make your own decisions based on that. I'm just bouncing some recent and very encouraging information.

As for time after procedure. I would have run home if they'd let me. I can't remember any pain, and nookie was only put on hold because of the Rivetess' sarcastic donning of a radiation suit. Had to not cuddle the g-kids, and was not allowed to be cremated for one year.

My fellow traveler, was not so lucky. He did have to be rushed back for a catheter. Not the biggest of deals.

Last figures out a few weeks ago, seemed to be saying the results were on a par with the best alternatives, with far, far fewer side effects.

Is Southend not doing the procedure now? Mr Lodge was one of the pioneers in the UK, I believe.

It seems brachytherapy is in the spotlight all over the world, so I can see how it might be difficult to get fitted in in time.

An aside: When the SuperCollider project in Texas was finally abandoned, an enterprising guy purchased some of the mega-magnets to make the radio seeds for treating cancer. Mine Radio Iodine 125 came from Canada, and they only last a few hours. If the procedure is delayed, the seeds are discarded and new ones ordered.
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Old 2nd Apr 2012, 21:05
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Pretty sure brachytherapy offered at the QE in Brum. One of my bosses stuns patients for it every week or so
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Old 2nd Apr 2012, 22:07
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How about times to regain Class 1 Medical? :
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Old 8th Apr 2012, 20:56
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Sorry, the CCleaner in my computer causes the bold (unanswered/read) threads to be reset.



I would have had very little reason not to go to work within a week. Going for a quick pee might have taken a bit longer, but I guess the issue is, the danger of suddenly needing a catheter.

Very annoying to not work for ages when seemingly perfectly okay, but I don't know how one would get any warning of that issue.

I guess asking patients who did need it, exactly how they felt in that region prior to emergency treatment would indicate the probabilities, but as always, the CAA/FAA will be the ones with the statistics, and more importantly, the rulebook.

The one thing I have had over a period of time is what the surgeon called 'Bowl Hurry.' I didn't notice any indication of this for months, but for a while it became very tedious. Just wouldn't want to be far from a loo due to oversensitivity of the signaling system near to the rectum.

I don't know if this is common to both kinds of radiation treatment, and I don't think it affects a significant proportion of Brachytherapy patients.

If there is no indication of any disease outside the prostate encapsulation/region? there is no way I'd opt for radical surgery. But again, that's just me, and everyone must make their own decisions based on the latest research.
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