Welcome, and sorry to see you here. Be glad your dealing with this at 59. I had a radical prostatectomy back in October 2009, at the ripe old age of 49. What I wouldn't have given to not deal with this for another 10 years.
All the other guys here have great advice and YOU need to decide what works for you. I decided to do seeds and then after meeting with the surgeon, I was convinced that surgery made better sense for lots of reasons and in my case age was a big factor. I was too young to not do my best to eliminate the cancer completely.
My urologist insisted I see a radiation specialist so I could make an informed decision. I had made up my mind to have the surgery but the urologist had a point. Why not listen to the other guys sales pitch so to speak. So for the cost of a $20 co-pay off I went to see a highly recommended specialist and not only was he AWESOME, but he gave me great advice too.
I asked the doctor "What would you do if you were me?" He replied "Mike that is really an unfair question. I'm older than you, I'm not married to your wife. I didn't raise your children, I don't have your mortgage and so on and so forth." He went to tell my that surgeons want to cut and the radiation guys want to do radiation. He told me he felt confident that I was an excellent candidate for his services and that he would do a combination of seeds and external beam radiation.
To this point I felt he was honest and objective but still felt surgery was the right thing for me and I remained unchanged in my thinking and then came the big payoff for my $20. He said: "Mike - I'm totally confident I can give you an excellent result and I'd be happy to take you on as a patient if you'd like to move forward with me", and then came the but............
He continued "but....... if I were you I'd have the surgery".
How honest and refreshing and wonderful to get an endorsement of my decision from a guy who in the end would see no benefit or financial gain from his excellent advice. Coincidently my dad, 25 years my senior, was diagnosed with PC the week before me and I said "Dad you gotta meet this guy" He was a straight shooter and in the end my dad did follow his protocol, but dad is older and has different issue than I do.
End of day every one of us is different and you need to consult with the best doctors you can find and if your lucky you'll find guys like I did. The folks here on the HW forum are also an excellent resource. In the end my surgeon who does robotic surgery preferred a traditional laparoscopic approach over the robot for my set of circumstances. I trusted the surgeon and after that I want him to use the tools he's most comfortable with. I picked the surgeon, after that I let him pick the tools.
14 weeks post up I'm 95% or more back to where I was with only the most mild ED that I'm told could take months for the nerves to recover and for me to return to the way I was. For now, a quarter of a viagra and I'm good as new until the time I look forward to not needing it anymore.
Best of luck and e-mail me directly if you'd like to talk more. We all get thru this.
8/12/09 Diagnosed at 49 years old.
DOB. 6/11/6010/29/09 Surgery
at Memorial Sloan Kettering Cancer Center, NYC
11/25/09 Catheter Out (4 weeks)
99% continent the day the catheter came out
Wore the pads for 2 weeks to be safe but had minor drips at most.
12/16/09 First PSA (7 weeks) < .05 Undetectable
2003 Biopsy Negative
7/23/09 Biopsy Positive. 10% cancer in 1 of 12 cores. Gleason 3+3=6.Post Surgical Pathology:
Tumor confined to prostate
Seminal vesicles not involved
Bladder neck not involved
Surgical margins free of tumor
Lymph nodes not involved
Post Edited (Mike H) : 2/16/2010 10:50:48 PM (GMT-7)