Once again, I agree with John's estimate, though hopefully your urologist or any radiation oncologist you meet with, might be able to give you a clearer time frame. Unfortunately, PC is not an exact science, and its hard to predict exact paths, and outcomes in advance. You also have to consider that at best, our biopsies at time of diagnosis, are estimates, based on the cores do that come back positive. Not to cast doubt in your mind, but with some that have been through surgery, their post surgical pathology reports much more serious level of cancer involvment, once they have the entire prostate and any other surrounding tissue to examine, in that case, its not uncommon to have the Gleason number increase. On rarer occasions, the gleason number will decrease, which obviously is better news.
So, there is always an element of the unknown here, so more reason to do all you "due dilligence" at this stage, i.e. reading, studying, other professional opinions, etc. Ultimately, when you do have to make a choice, it will be, or should be, your choice alone. Then, you have to go forward, get through it, and then live with it. No matter what treatment method you use, there are no guarantees about
the level and types of side effects and quality of life issue you personaly will have to deal with. Any doctor that pushes words like I guarantee you a cure, or you won't have any ED or incontinence issues, etc, should scare you. Because they can't know any of that for sure ahead of time, no matter how famous they are or how many procedures they have under your belt.
You will find with the brothers and sisters here at HW, while we have many an opinion on almost every aspect of PC, once you decide what is best for you, we will back and support you all the way. I say this line often, but I mean it, its your body, your cancer, your life. You alone, in the end, have to do or not do, what is right for you.
David in SC
57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.33rd Biopsy
: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3Open RP:
11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09Path 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, 4/8 .04, next one: July
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, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in