Q: I am 55 years old and have gone through orchidectomy after being diagnosed with adenocarcinoma of the prostate with a gleasons score of 4+3. The PSA shows 5 ng/L after three months of treatment with Calutide. What are the chances of the secondaries in the bones to come down? How long would it take? I am feeling very weak after taking this drug? What are my chances for an active life?

A:It is very important to know the PSA at the time of diagnosis. What was the status of secondaries at that time i.e. bone scan findings etc. You are very young for this disease and the gleason score is also not favourable. I would seriously think to give you chemotherapy in form of taxotere under supervision of a medical oncologist. For bone pain, you may require Inj Zometa, again under supervision of the oncologist. You can start activities within convenient limits and avoid falls etc. Keep your bathroom dry, avoid acute bending forwards in order to pick up things from floor.