Let me try to simplify this.
open RRP vs. Robotic LRP. Radiation Vs. Surgery. Spiritual vs. Not.
RRP and LRP acheive the same result. The cancer is cut out and you get a difinitive post operative pathology. Can't miss either way, but the procedures are arguable for which is better. I wouldn't 2nd guess at this point.
Radiation vs surgery is debatable to no end. For me, surgery was the best way to go so that I would get that post op pathology and not have to deal with PSA bounce. PSA bounce is in radiation therapy a PSA test somewhere down the road that shows a rise. You spend the next 3 to 6 months wondering is your cancer is spreading. The good side of radiation is that you skip, initially at least, the incontinance and ED issues. But after treatment you have to hope its working. In my case it would not have worked alone and I would have delayed getting necessary adjuvant therapies. But I will tell you that many have done very well with radiation as the primary therapy.
Spitual vs. Not. This is different for each of us. A decesion that transcends cancer and treatment. If your center uses spirituality as a means to deal with the process of treatment, they should also be telling you that it's meant to also say that you should try to get help in dealing with the psycological effects of a very serious illness. You can do your own interpretations but it is well intended.
Were you wrong? No. You did what you did based on the education you had at the time. There is no use for Monday morning quarterbacking. I consider the things I did done. I am a spritual guy, but I also sought group help and found it here. I have no regrets.
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09.
Years in Remission (3/23/07): 1
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Prostate Cancer Forum Moderator