In low grade cancers, gleason 6 and below the cure rates are about
the same, so the real question is the side affects.
Whith surgery you are sure you got it out and can review the pathology of the tumor. In seeds you are never sure.
In surgery you have to have a catheter for a couple of weeks and start with incontenince. with seeds you may develop incontinence in a few years, but the permenant incontenance rate is about
There is little recovery time after seeds, a few week for surgery.
There is possibility of bowel problems with seeds as time progresses. Permenant bowel issues are about
the same as with surgery.
In Surgery you are impotant for up to a year or two than hopefully recover.
With seeds you start off potant and may lose potancy after a few years; but permenant impotancyis about
Surgery is a complicated procedure and many more things can possibly go wrong.
A lot of men choose surgery because of a reoccurrance you can do radiation. Salvage surgery is not a good option. I disagree with this line of thinking because the cure rate for any type of reocccurance is very low and you are just stacking on more permanent side affects. If I had a reoccurance I would go directly to Hormone therapy because most end up there in the long run anyway.
64 years old.
I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.
In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.
I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.
A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.
Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,
I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.
The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.