I would readily agree that color doppler is a great tool. I think we have seen where it is particlularly useful in finding PC where the TRUS doesn't, when the tumor is transitional or in a place where the needles may not hit it.
On the other hand, being a "garden variety" PC case, it really wasn't needed or useful in my case. Once the old needle hits some Gleason 7, 8, or 9, you most likely are going to the next step, particularly with a low PSA. In higher PSA's, it may be useful in determining if it has escaped the capsule yet, but most likely even the CDU woun't see a few cells outside the capsule.
I proceeded directly to the next step, no more diagnosis required, so why waste the time and money ? Seemed pointless in my case.
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
15 month PSA <.01