Mel, I will use you as the example here, because its your thread. You had your surgery done by one of the best of the best in the US, at one of the best of the best hopsitals, yet it did not prevent you from having BCR fairly fast. Should someone assume that perhaps your surgeon sucked, didn't have the skills, was all talk and no show? Of course no reasonable person would think that. Your BCR would have happened regardless of whom your surgeon was in my opinion. But, and I have seen this here at HW, if one of us goes to a small town hospital with an unknown (outside that local area) surgeon, and the surgery failes to stop the PC, then the attitude is that you should have gone to a better place, got a better doctor, etc. I think that is all wrong. Each body (patient) cancer situation is different and reacts different in their treatments.
I think we all know that we are dealing with probabilities, and absolutely no guarantees (the antithesis of guarantees!). So, all I can do is try and maximize my probabilities. That's what I am doing. There is some minimal consolation that I at least recovered extremely well from the surgery with no incontinence. I do have 100% ED but that is, honestly, not an issue whatsoever especially since my worries concern the PC itself. But, we all know that we are battling for our lives here. That's what it comes down to. Movie stars and other famous people with all sorts of money and resources can go to the best places in the world and get the best possible treatments from the very top doctors. I bet they do better, but so many still don't make it.
David, all you can do is try and give yourself the best chance in conjunction with your own knowledge, physical condition, desires, and resources. But, if you are going to post on HW and indicate your plans, then be prepared for comments that you might not like and don't want to hear. Look, I just mentioned Dr. Scholz and it has become a lightening rod with all kinds of pro/con comments. We all have different viewpoints. You took great offense when I suggested, after maybe 10th or 12th new catheter, that you should look at consulting with experts face-to-face or by direct contact from you. Well, that's just my opinion, from afar. (I might add that others expressed the same opinion.). But, remember, I said that we deal with things in our own way. I have been loudly criticized for getting ahead of myself. I always seem to be one tx. ahead (I wish one tx. would work, darn it!). But, that's ME. I operate better when I have a plan in place. Different strokes.
David, regarding your upcoming decision, (AND OTHERS MIGHT BE INTERESTED TO), check out the following link and view the video. When I was investigating Dr. Scholz, it helped me choose him as he clearly possesses the kind of knowledge I'm looking for. It is a 90-minutes video mostly about advanced cancer. He talks about all kinds of strategies and treatments. It may help you decide. Please let me know what you think.