It seems you have gotten a lot of information about
PC and procedures, but they are snippets of many things and you don't seem to have a plan that makes any sense.
Yes, PC is slow growing, but some PC is relatively fast growing and will kill you within 5 years.
Yes, most doctors don't know a lot about
PC and give conflicting information. Some doctors actually know a lot and will steer you in the right direction without a conflict of interest; try Drs Barkin and Scholz in your area or even dr Doug Chin.
You can't make a plan or decision without information. Doing nothing is a decision and you don't have enough information about
your situation to know if that decision is best.
PC is confusing, but with the right guidence it does make a lot of sense.
The basic rules are:
Know the biology of your PC
Match the treatment option to the biology
Pick the very best artist to perform the treatment (yes, medicine is an art)
Doing this will result in the most favorable outome. Guessing will result in a less favorable outcome.
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.