mjr...i see that you did have davinci done at 55 and you say you then had to have proton therapy at 57. that is wonderful that was available to you at that point but i'm sorry to hear the cancer returned. with davinci they remove the entire prostate, right?? may i ask you...did the cancer spread outside the prostate and that is why you had to have proton therapy? if you could go back and do it all over again, would you have had davinci first or would you have went with a different method?
just an update on my dad...i am happy to report he is doing really really well!! he decided against proton therapy after weighing all the options. he did go to the clinic in Indianapolis and spoke with the doctors there...he really liked the staff and doctors. but he also spoke with a doctor about davinci and then another doctor about the nerve sparing method with total prostate removal. he also spoke with a radiologist to make sure he wasn't waiting too long. i felt like once we got the ball rolling he was really able to come to terms with everything and make a very informed decision. i am really proud of him for taking all the right steps to get on the right track.
In the end he chose total prostate removal with the nerve sparing method. Dr. William Catalona did the surgery at Northwestern in Chicago, IL. Catalona is a wonderful doctor who is very cutting edge...he actually is the one who developed PSA testing. He's been in the game for a long time and knows his stuff. My dad really liked him and felt very comfortable with him...he can't say enough great things about him. We also know others who have gone with this method of treatment and used Catalona and had wonderful results. I think my dad chose this method (over pt) in the end because he came to the conclusion that although proton therapy is known for great results, he is the type of guy that would prolly worry himself sick with not knowing whether the cancer was truly gone and the possibility of return. he decided he wanted the assurance of knowing that the cancer was gone, and there was no chance of cancer coming back to the prostate since it was gone. plus the assurance of a doctor who was able to physically remove the cancer and check everything out to be sure that he got it all. on top of all of that, Catalona was able to spare the nerves around the prostate which hopefully helps to regain functions quicker and easier as well as minimizing side effects of impotence and incontinence.
he had surgery january 12, so he did wait over 6 months before getting treatment; however, the lab results came back and lymph nodes were clear, cancer was confined to prostate, cancer in 25% of prostate, slight invasion of perineal (which they said is normal), gleason score of 3 (much lower than the biopsy score of 6). Although I did not like how long he waited to do something I am glad he took the time to decide on the best treatment for him. He's told me that had he not researched everything so thoroughly, he might have always wondered (or regretted making the wrong choice).