The idea of publically funded health-care is a divisive issue for many. I can only tell you of my experience.
I could have chosen almost any hospital/doctor here for my procedure. The drawback would have been some time and I would probably have had to cover some, if not all, travel expenses. After a good deal of research on treatment options, I found a surgeon. So, I chose him and the hospital he provides services in. It was also close to where I live.
I looked into all options I could. I even looked into proton at Loma Linda. I probably would have had to sell my house to do it until I could convince appropriate authorities here to re-imburse, but I was probably not a good candidate even in my own mind (also, just a small biz owner with insignificant extended health coverage). I had fairly high content and # of hits. My biggest concern was how do I know they got all what I got? Post surgery pathology was the best bet to answer that question for me, and that's why I chose surgery. Unless I'm wrong, I doubt the best imaging in the world would have found the unifocal, EPE I had on post-op pathology.
It ended up that after looking just about everywhere, I chose treatment that was close to home and covered by my tax dollars. So far, I've done well.
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.