It is an assumed given, that a urologist/surgeon is going to suggest surgery, and if you went to a radiation oncologist first, they would suggest radiation. A well performed biopsy with a good pathologist reading it, still gives any us a foundation or basis for our cancer. And even if all of that is performed to the best of ability, it is still an estimate at best, a base point. And from that base point, we have to wade through a plethora of information: from books, the net, friends and family, medical pros, etc. When it becomes hard, is when it is insinuated or implied that the resullts will be about the same regardless of the primary treatment chosen.
As we all know, no treatment comes without its costs in terms of quality of life issues, it's kind of like the classic question, do you want to be stabbed with a knive or shot with a gun? Both hurt.
Going back to biopsies, people have to remember how random it can be, unless you have the more thourough satuation biopsies. I believe my cancer was well in place in my original biopsy 1 1/2 years before my dx. came in. The first biopsy just didn't poke the right area at the right time, and bingo, no cancer found. My point, our biopsies are just a starting point, I worked on the premise in my mind, when the 3rd one found the cancer, that there probably is more, and in the end, after surgery and the final pathology report came in, there was much more, and it had been there awhile.
Some of the attitude I pick up in here is to be expected, that is in classical denialism. It's very much a human nature thing. In denial, one can assume the appearance of being diligent in looking for the correct medical solution to their cancer, but in reality, they are looking for every possible excuse to disprove the obvious,and the facts at hand. In my lone opinion, that non-productive, and can lead to needles delays, and at the extreme, worsen the person's chance for containment.
David in SC
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes
2009 PSA 2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18