If any doctor tells you there is one best way to treat this disease and gives you only two options then run for the hills as he is not giving you the straight scoop.
In low grade contained PC, every treatment option results in the exact same result, a cure rate in the mid to high 90% and a long term survival.
open surgery, robotic surgery, Brachytherapy, IMRT, Proton, Cryosurgery and HIFU all are valid treatments as well as AS. The doctor you choose will have more affect than the treatment you choose.
Please do as much research as possible and get multiple opinions from docors in different fields, such as surgery, brachy and IMRT. Even see a doctor that specializes in AS as this is the alternative that will have the least affect on your life. Read the posts on this board, the vast majority of them are about
how to deal with the after affects of treatment. Study the side affects of each treatment as in all probability this is what you will have to deal with, as cure rates for all treatments are extreamely high. Talk to patients that have had each treatment and ask them about
their recovery time and side affects.
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.