I don't really have much to add to this discussion except that it really interests me as a prostate ca survivor, and as a guy who tends to second guess his decisions down the road. The NY Times article is certainly disturbing, there seems to be no vindication or approval of the course of action I took after diagnosis of prostate ca. I too am one of those guys with a low gleason score and low prostate ca volume. My family's history of colon and breast cancer inclined me to some kind of action, either surgery or radiation. 6 months out from surgery there is no sign of recurrent cancer, no incontinence, but ED remains along with mild case of Peyronies Disease, presumably from the trimix injections. Would I have surgery again knowing what I do now from all these recent studies? Honestly yes I would, there is some kind of satisfaction in knowing that I did the best I could to rid myself of cancer, even though the studies don't really show in the long run it improves 10 year survival. I am really disappointed about
the ED issue though, especially for my wife who has to suffer the consequences of my actions. Some decisions in life are pretty gray in terms of end results..........
my age=52 when all this happened,
PSA went from 1.9 to 2.85 in one year, urologist ordered biopsy,
First biopsy on 03/08, "suspicious for cancer but not diagnostic"
Second biopsy on 08/14/08, 2/12 cores positive for Prostate Cancer on R side, 1 core=5% Ca, other core = 25% Ca, Gleason Score= 3+3=6 both cores,
Clinical Stage T1C
Bilateral nerve sparing Robotic Surgery on 09/11/08, pathological stage T2A at surgery,
No signs of spread, organ contained,
First post-op PSA=.01 on 10/15/08,
Second post-op PSA <.01 on 01/15/09,
Incontinence gone in early December '08,
ED remains, using daily Viagra and 2x/wk bimix/trimix injections for penile rehab