The possible pitfalls for anyone diagnosed with PCa:
1) no guarantees with anything and especially for high risk patients (see nomograms,Partin tables). I suppose you can guarantee your life is influenced enough, you will witness how that plays out as you go.
2) Drs. can be very biased especially as to what they offer (sell) and maybe have blinders as to things outside their training, the doctors do not all agree on what to do on a given patient. Some docs may rush you into surgery or whatever method even if you were a reasonable candidate for watchful waiting/surveliance. Some will tell you I can cure you...great...get it in writting and read the fine print.
3) pathology is not even precise enough(biopsies can miss areas, you can have multiple Gleason scores within your gland, so hopefully it did not miss on an 8,9,10 biopsy) and scans and tests are either flawed or not definitive enough....so your treatment is based upon???? Best guess scenarios is the truth of the matter. Not to mention there are many variant types of PCa and they do not all respond the same, a few are super aggressive and even hormone treatments do not respond well to (those are rarer is the good news).
4) 'The I have PCa, so get it out'- scenario is great in theory but not perfected in actual science, might have more truth for the indolent forms and "light duty" versions of case presentations, which have the best chances for cure. But the docs cannot verify if it has spread or if you have micro mets, they attempt to of course but is not near what level of expertise is actually needed for patient. Scans are not nearly good enough to pickup such. Alot good number of patients can fall into the recurrence scenario after their primary treatment and wonder why....'doc said he got it all' . We have even heard of cases where the doc didn't even get all the gland removed, let alone the cancer. You can have recurrence even 10 yrs. plus afterwards, even with nice looking psa numbers for a long while (it is possible, maybe more rare)
5)not alot of docs will tell you to get second opinions or go shopping, or come on back after you have checked out the competition, some might. Not many will suggest you read alot of books and such before you give them your decision. You might try to understand the why is it this way and contemplate that for yourself.
6) be prepared to monitor psa and other tests perhaps the rest of your life or a good while, and probably sweating out each psa test to find out, was all this treatment effective...especially considering your journey...side effcts...life changes.
7) you can study the $#*(& -out of this on your own and get multiple opinions (which is highly suggested even to understand what goes on in the real world), and you can never get a full grip on any given presentation of PCa, the low risk and indolent versions are the best to be found with and render best results. Realize that with PCa there are basically plenty of exceptions, undefined variables, etc. and this is the rule(norm) in this world.
Not what you want to hear, doesn't change the reality of what PCa is about. Is anyone fully prepared to deal with all this? The education you should get, the multiple opinions, how to shop or find the right doc or situation or truthfulness on your case, the how to deal with PCa after treatments (side effects, changes), what to do if treatment fails??? What choices might I actually even have and where??? Is PCa handled differently in other countries and what is their results?? If I have little or no money what options might I have that I don't know exist, is there answers???(yes there are!!!)
Bring your 'A' game to the table is a suggestion or be a totally uninformed type, it is your call now to make, you have choices and heavy decisions to contemplate.