My pathology is similar to your husband's. I was diagnosed in March by a capable urologist here on Cape Cod. Cape Cod Hospital does not have Robotic, so I went to a well experienced uro in using robotic in Boston to have the operation. I had Robotic RP in May.. Post operation meeting with uro it was HE who suggested that the 1.5+- hour drive from Cape Cod to Boston every day for Radiation didn't make sense. He referred me to HIS Uro Oncologist for a chat, and they ALSO agreed I would be better served havign the radiation closer to home. I went back to CC Hospital and am dealing with a very good radiation oncologist who actually agreed with me about
holding off for more time before (or even if) I shoud have radiation, so I could better hear. During EVERY step of the food chain, Everyone involved fully understood that I was making difficult decisions that werent not to be construed as insults to anyone along the one. The bottom line, in my case, since the machinery was state of the art and my radiation oncologists is known to be very good here on Cape, why put myself through 3 hours a day, 21 hours a week of driving, when it wasn't needed. The urologist who did my robotic surgery wasn't going to administer the radiation anyway,, and it was HE who suggested that I check out the Cape before agreeing to use the rad onc from his own hospital. Hope that makes sense. Best of luck to you!
First ever PSA test Jan 2010 @ 51 years old. 4.0.
Digital exam in March 2010 showed 1 side hard, other soft.
Biopsy, positive in 3 of 12.
Davinci @ Boston Medical Center, May 17, 2010.
Was suggested prior to it was likely contained.
June 1 advised 3+-4 was really 4+3 per pathology. Pos margins.
Listed on patholgy as PT3, but with extraprostatic extension,
microscopic invasion of the bladder neck, PT3A is perhaps the case.
Catheter removed June 1.. 1 pad/day, doing ok. ED, but not in rush.
Sore as heck down there, but doing much walking with my wife.
To meet with my Uri (1st meeting since) June 17 - 1 mo point, to discuss.
BMC already has me setup to meet with radiology.
Felling a little better each day. Cant tell if my expectancy just went from 10-15 down to 5-7, the information out there appears to be all over the place. I WILL NOT radiate my insides to the point of being a veg for the sake of a few years. QOL is primary to me. Selfish I guess. I pray for all of you as I do for myself, but must remember that i've had a pretty good 50+ years, and know others who have lost their children to disease.. so I dont have the nerve to complain! Update 7/14/2010: When I tried changing this sig a few days after creating it, system was broken. My new rad oncologist are discussing IMRT.. though he says he can see why waiting a bit and watching the PSA on super sensitive basis might make sense. I am leaning towards IMRT.. thinking is my body is pretty strong now, i'm 51, and if I can rid my body of this while trying to minimize the side effects.. I dunno. No really Good answers. When I said I didnt want radiation to the point of being a veg.. I really meant there is a limit as to where I wish to go in order to realize only a small increase in life expectancy.. and not that I am an unreasonable person. I do, after all, have an obligation to my wife and kids.