What a resource, it should be printed out and read by all. I had seen and read bits/pieces of this before, but never saw it all together like this. It covers virtually everything ever discussed here at HW, and it would be hard to argue with any of its presentation. I was impressed with the detail and thoroughness of each and every aspect covered.
For anyone harboring non-rational thoughts about potential treatments, what I read should help bring your mind back to the reality of the situation.
zufus, I personally appreciate the direct link, and will return to it often as a future source and reference point.
On the personal front, I found the following directly interesting as it applies to my current woes, kind of put some validation to it:
"Another issue to be aware of is stricture from scar tissue, which can also cause urinary problems. If the man has a history of poor scarring (some reports suggest that if any scar on his body is more than 10 mm (about 3/8") wide) then there is about an eightfold increase in urinary problems following RP (Radical Prostatectomy"
(If you guys knew my scarring history during my entire life, childhood to adult, the above is starting to make some sense why I have been dealing with what I am dealing with)
Can't get into the details right this second, but I thought the section on HT/ADT presented a frightening world. Unless I read too much into it, it seems to emphathize a lot of significant and major side effect issues, as many were highlighted. I am of the mindset, and perhaps its irrational at this point, I don't pretend to be an expert at anything, that I don't want to go down that path, as I have always been ultra sensitive to side effects in general, i.e., my recent rounds of SRT. After reading that section, it made me understand why I felt that way.
(No reflection to any man on HT, I know it helps and works for many, but it is another juncture in our decision paths in our PC journey)
In general, this guide should be required reading before anyone jumps into a primary treatment for PC, and if read correctly, could encourage some of our brothers to seriously consider AS, if their low numbers and lack of direct family history warrants it.
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery, no problem post SRT
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days