Like it or not at your age surgery is risky, us old guys just don't heal like we used to, and when something goes wrong it tends to be a lot worse and more often. Whoever told you that your prostate is too big for seeds doesn't know what he is talking about
. The cutoff is 60cc, but smaller is better and more effective. You can easily reduce your prostate size to about
50% by taking 3 months of Casodex and Proscar; this will also kill any stray cells that may have escaped. My prostate went from 60cc to 32cc. With a G7 a more effective approach would be a combination of seeds and IMRT. The advantages are a much higher dose, about
20% to 25% with the same side affects of either treatment alone. Also two different types of radiation makes it better if your PC builds a resistance to one of them.
Do some more research on both surgery and radiation; combination therapy may be more effective than surgery with your stats and will certainly result in fewer side affects and pain.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.