You can quote the NCCN guidelines, you can tell me only 2 % of low grade cancers are fatal, you can tell me we are over-treated, you can tell me about anything to argue for AS, but after the doctor tells me I have cancer, I don't believe their are enough statistics, studies, standards to make my b*lls big enough to wait.
It just doesn't make sense to me. Oh right, the wife and I can have wet s*x for a longer period of time, and maybe I won't have to endure wearing pads for a few months, or for the radiation guys, I won't have to experience fatique, or diarhhea, whatever it is we are avoiding.
Oh and by the way, for all you guys who enjoy biopsies, let's have one every six or 12 months. Don't forget the PSA's. I know how it is with having them after the treatment, I can only imagine the anxiety as I wait for what I would believe is the inevitable.
Not until they have tests that are within a percent or two on the correct gleason, whether it is indolent or aggressive, or whether is contained or not. There are too many unknowns in this equations for simple guys like me.
I picked a treatment, knew the possible side effects, and got it done. While I wasn't a candidate for AS anyway, I don't care if I had a 5 or 6. I would have chosen the same route. And no, it wasn't some money hungry doctor who made me this way. I'm just built that way. When my car, or furnace, or dishwasher develops a problem, I fix it. I don't wait for it to break real bad, hoping maybe I'll die of something else first, or my house will burn down.
My hats off to you guys who can do it. I just had to say this. Now I feel better.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10