The lumpectomy approach sounds intriguing, however I would be concerned with leaving the prostate intact. PCa is multi-focal, and a focus of cancer cells too small to be mapped could be missed. Even if all of the cancer were removed, the genetic and/or envronmental factors, which caused the cancer in the first place, could strike again somewhere else in the remaining prostate. Obviously, age and concern of side effects from other treatments must be weighed, and I am biased due to my personal choice of surgery.
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel at OSUMC.
Difficult surgery due to prostate inflammation.
Both nerve bundles spared.
Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
Final pathology: neg margins, no capsular penetration,
Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07 First usable erection with Cialis
11/22/07 Thanksgiving - Bye-bye, pads
01/17/08 First post-surgery PSA result: < 0.008 ng/ml