EON, last June I was in the same boat you are in now..I chose surgery mainly because if it failed, a 50-50 chance for me, I could then move on to radiation..Well the surgery failed and I'm doing RT and HT now..The option of seeds and IMRT combined was not available to me in Denver plus there were insurance coverage issues..
So here I am, enjoying the side-effects of all three treatments (surgery, RT & HT) at the same time...(I'm tolerating it very well) At least I'm continent, a MAJOR issue with PC treatment...
Briefly, the combined seeds / IMRT treatment allows a radiation dose of around 150Gy to be administered safely. Studies have shown it to be very effective..
Most medical insurance covers surgery fairly well, but with radiation, especially radiation performed at out of area clinics, you better get pre-approval from your insurance before you agree to treatment...Costs can be staggering..
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT NOW