Mark, that what makes our treatment decisions so hard, once again, the choices, options and ramifications. I would have had more choices just by willing to drive 2 1/2 hours to either Charlotte NC or Atlanta (Greenville SC is about dead halfway on I-85). I thought about it some, but in the end had a very good urological surgeon with a known good record, and first hand experience with a local (Greenville) hospital that year after year gets the best nods for patient care. Plus, my family is all close by in distance, I didn't want to make the logisitics complicated for them with me being in the hospital 4 days. The way I did it, all my family was there, and all got to participate in their own way, right down to the grandchildren. It was the right way for me, and I wouldn't change a thing.
Now if I live way out in the sticks, I wouldn't be so eager to be in some tiny local hospital with limited surgical experience, etc. They would have been a different situation to me at that point.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Right nerves saved, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05