I previously posted the only quantifiable data that I know of. It's from Johns Hopkins written materials and I have copied and pasted this for your reference.
The importance of surgeon's experience as it relates to prostate cancer outcome is underscored by the results of a study reported in the Journal of the National Cancer Institute (volume 99, page 1171).
Researchers analyzed the outcomes of 7,765 radical prostatectomies performed by 72 surgeons between January 1987 and December 2003 at four major academic medical centers. "Biochemical" recurrence was defined as a postsurgery PSA level greater than 0.4 ng/mL followed by a subsequent higher PSA level. The analysis took into account patient and tumor characteristics, such as pre-operative PSA level and Gleason grade. The men's PSA levels were measured every three to four months in the first year after surgery, twice in the second year, and annually during the following years.
The researchers found that surgical outcomes improved along with the number of radical prostatectomies a surgeon had performed, leveling off only after about 250 surgeries. The five-year probability of experiencing a recurrence of prostate cancer was 18% for surgeons who had performed only 10 operations compared with 11% for surgeons who had performed at least 250 surgeries.
Bottom line on prostate cancer surgery: The results suggest that you can improve your odds of a successful outcome from radical prostatectomy by taking time to find a surgeon with extensive experience.
Beyond this, I am torn as to whether to just leave it at this or pontificate further re your choices. I am taking the option to pontificate...I hope you will take this in the spirit in which it is given, i.e. what would I do in your situation. I recognize everyone is different and my opinions may differ from yours and/or others, but here they are for what they are worth:
1. Geezer states you have 2 good choices...actually, from reading your stats, you have MANY good options...almost all treatment choices are open to you with such an early stage cancer and low Gleason scores.
2. If it was my prostate, no way would I have surgery in Thailand. Yeah, that sounds biased and I guess it is. But that's the way I see it. Dude, this is a BIG DEAL and the side effects could affect your quality of life forever. Maybe I'm just over cautious...having said that, I lived in Athens at one time and flew my daughter back to ths States to have her adenoids taken out. Anyway, just MHO...
3. Again, if it was my prostate and your stats, I would watchful wait under the guidance of a doc experienced at that. You could even call the experts at Johns Hopkins (Dr. Ballentine Carter, Head of Adult Urology) and discuss this.
4. If you won't watchful wait and if you are willing to travel for a procedure but concerned about post-op stuff in another country, then I would do seeds if I was you. Within 24-72 hours most all patients are back to normal activities. Or, I would consider targeted focal therapy.
Anyway, I hope you don't find this straight talk insulting...I certainly do not mean it to be. If you do decide to go ahead with one of the surgery options in Thailand, I wish you the best of luck. But, I personally just wouldn't do it.