Tony, your post of 11:25 a.m. today (at least that's what it shows on my date/time stamp) is truly a "gold standard" and I congratulate you on again banging this all important drum.
One thing that occured to me as I read your post, and this thread, is that while there are new surgical techniques that may well improve long term statistics, generally a RP is a RP. With radiation (as John T pointed out earlier) things have improved so much results from 10/15 years ago are hardly relevant today. (I know I am extrapolating from what he said, but I hope John T agrees this would be his thinking too.)
Other new treatments, as you so correctly say, really don't have a long enough track record to be labeled "gold."
Doesn't that by elmination, and definition, leave surgery as still the "gold standard?"
I don't mean to sound as if I'm promoting it as the "gold standard" just curious on your's and other's thoughts.
Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours. Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn --- perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7
First post op PSA Sept 09 less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010 less than 0.02
PSA on April 9, 2010 less than 0.02
PSA on July 9, 2010 (one year) less than 0.02