Thanks for all the thoughtful posts! It is very helpful to see that others have faced the same issues, and very insightful to hear about the decision making process that each person used for their own reasons.
Inwm, hope your surgery went great today. Best of luck to you.
Alf, I agree totally with you on the AS thinking. If I happen to live another 25 years, the odds are very high that my PC will progress eventually to a point that requires treatment.
The harder question for me is thinking about AS for the short term, not long term. What about monitoring things for, say 5 years, enjoying life w/o side effects for the time being, understanding that treatment will likely be sought then. This idea also seems helpful in considering a "new" option like CyberKnife, which doesn't have a lot of long term data yet - and you would have more info to evaluate when making your treatment decision. (I'd also be interested to see if real changes in your diet, re fat, red meat, dairy, etc, would have an obvious effect on PSA and disease progression.)
Speaking of CyberKnife, has anyone chosen to have it? It seems to promise the benefits and cure rate of traditional radiation therapies with some likelihood of fewer side effects due to better targeting, technology, etc. But again, as applied to prostate treatment, it seems a bit early to draw any firm conclusions.
Lots of good points about having a backup plan. For those who chose surgery and have needed or are planning to use radiation as a salvage therapy, is there a standard radiation therapy used for this? Is it targeted where the prostate was formerly located, thinking that the PC is still localized there? Or is it a more broadly targeted treatment?
Jim, thanks for the explanation for your choice of brachy. Is the expectation now that urgency and frequency issues are the main urinary issues, as opposed to blockages from scar tissue or bladder damage, etc.? (My dad had some form of EBRT 20 years ago and did have periodic episodes where he would have to go to the ER to get help releasing urine.) And with ED, how long out should those effects be apparent if they are going to appear? Is your expectation that ED can be treated with pills, or will this likely require additional remedies?
Joe and JohnT, you each chose a form of BT. What were your expectations going in as to likely urinary and ED problems that you might experience vs. those likely with surgery?
bt, glad your procedure went well and hope that the 90 day numbers look good!
david in sc, your story is incredible. Surely you are due to have something good happen in your treatment!
thanks again to everyone.
Age 56. 7/22/10 biopsy results confirmed on 8/17/10 showing 1 of 12 positive, with 5-10% of core tissue involved. Gleason of 3+3=6, PSA before biopsy 2.3. Nothing on DRE. Family history (father) with PC. Stage: T1c. General health good.
Currently considering all treatment options.
Post Edited (MCinNC) : 10/6/2010 8:39:12 PM (GMT-6)