I don't know where your oncologist got his numbers but they sure don't match anything I've ever seen. If you don't have evidence of capsular penetration or lymph node involvement your chances of cure are over 70%. If the tumor is completely contained your cure chances are about 90%. Ths would be exactly the same if you had surgery. I would ask your oncologist why he thinks an 85% reocccurance rate, is there something he saw that makes him suspect that it is not contained?
If he says it because of the treatment you chose then you need to get a new doctor because he obviously doesn't know what he is talking about or is trying to sell you something.
I had both seeds and IMRT and the only side affects I had was urinary frequency and urgency for about 4 weeks that was very tolorable. I have no side affects whatsoever in fact my urinary stream and bowel movements are better than before treatment, never a problem with ED.
Do your research and find a good radiolgist and a good brachytherapist. Skill does matter and the better doctors have less complictons and side affects.
The dose given by a combination of seeds and IMRT will kill any PC cells within the prostate and 10mm to 15mm in the surrounding bed.
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.