you logic is perfect john. if, my srt fails, and i am in the next zone, there is nothing my beloved uro/surgeon can do for me, or even offer in the way of substantial advice. i would be seeking the very skilled medical oncologist that i had 11 years back, advanced pc was one of his specialties. my uro wouldnt presume to know anything about the radiation side of treatment, let alone advanced issues. however, i am glad he stuck with me through all the horrors i dealt with post srt, as they still directly effected my urinary system, even now.
david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.