Greetings, all. I have tried my best to stay out of this but find I need to add my 2 cents worth. That's probably all it's worth - afterall, as has been stated here I am nuts (as are all of us who chose surgery). My friends and business colleagues have known that I am nuts for some time but it is good to have one of my brothers here confirm that so plainly for all of us.
There are several treatments options and I firmly believe they are all valid. Different people should and will choose different treatment options for many, many different reasons. If you do your research and then choose brachy, radiation in its many forms, surgery in one of its several forms, or even watchful waiting, you can find valid evidence to support your decision. You make your decision and move forward with confidence.
I chose surgery based on the recommendation of my urologist after we talked about the options. Keep in mind my urologist is not a surgeon nor a radiation doc. He told me upfront that whatever option I chose, he would have to refer me to someone else. He told me that if we looked at the 10 year studies for all treatment options, they are basicaly the same. However, when you go beyond 10 years they start to have differences. I am aware that some of the other treatment options have not been available as long so that tends to skew the studies. I factored that all in. When I looked at everything, at my age I chose surgery.
Even thought I firmly believe surgery was right for me, let me very clearly state that surgery is not right for everybody. There are many guys that one of the other options is very appropriate for and that is what they should choose. However, please take that advise with a grain of salt - afterall we all know that I am nuts! David