With a Gleason 6 and only two cores positive this is considered a low grade cancer. ALL Treatment options will result in the same cure rate, surgery, seeds and external radiation. Everyone one will give their opinions, but the facts are the facts.
Seeds may cause impotance in three years, but meds like Vagra are effectve, just as they are for surgery. You husband wll have a much greater chance of permanent incontenence with surgery and will have incontenence for some period of time, usually a few months.
I had seed implants last May, it was a 45 min procedure with no pain and I resumed all normal activities the next day. I had urinary frequency and urgency for about
4 weeks that was very tolorable with FlowMax and did not interfer with any activities. I have absolutely no side affects, zip, nada, and I also had 25 treatments of external radiation.
There are a number of studies comparing seeds to surgery and the only difference is the side affects and the convience of a 45 min procedure vs a couple of days in the hospital, lots of pain, a few weeks of recovery and a few months of varying degrees of incontenence. There is also a much greater chance of complications in any surgery. Other seeders on this site have had the same experience as I did, so my experience is the norm, not the exception.
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.