Sounds like you have done your research, gotten multiple opinions, and are heading a direction that you both agree with.
Certainly you have also talked about side effects, which are a real potential with surgery. They make the years to follow a challenge for 40 to 50 % of men having surgery.
That said, I would agree with choice based on the apical involvement, which could give you a higher chance for a positive margin.
Brachy is certainly a viable option with your volumes also, but the surgery will give you an absolute pathology and a definitive treatment plan based on that.
Welocme to the HW forum. We wish you all the best in the coming months.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01