Welcome, Bob--I'd suggest that you read thru some of the posts and information on this forum to get an idea of some reasons folks give for the different treatment options.
Ultimately the method of treatment you choose is based on how you weigh the information and the options regarding your own situation. The perplexing thing is that no matter what you choose, each man's experience with the outcome and side effects is a little different.
My wife and I read books and articles on prostate cancer, got a second opinion, talked in person to men who had been treated for prostate cancer, and prayed.
Ultimately we decided on surgical removal. We choose this option for the following reasons: (1) Pathological staging that determines the exact extent of the tumor(s) and the prostate margins. (2) The PSA goes immediately to zero. (3) More options are available if the cancer returns, including salvage radiation if needed (4) Not as likely to experience painful urination and diarrhea (5) Impotence and incontinence tend to get better over time.
That said, others may have strong reasons for choosing another treatment option. There are so many factors involved. I had surgery a year and a half ago and except for erectile dysfunction requiring penile injections I am ok (Read--no incontinence or recurrence)
I'm a different person after diagnosis (A.D.) than I was before cancer (B.C.). Having cancer may go away, but having had cancer never does.
When I feel a joint pain in my pelvis, I don't think arthritis, I think--"It's back!"
My wife and I have a better relationship than ever, having traveled the cancer path together, heart-to-heart and hand-in-hand, these past two years. I wear the world more lightly than I once did. Life is richer and better for having had prostate cancer.
There are some terrific men and women on this forum whose stories are heartbreaking, enriching, challenging, inspirational and hopeful. Hope you find what you are looking for here. We're here to help! Take care and hang in there...Tim
Age 59 PSA 2.6 PSA velocity quadrupled in 1 yr