One point to be made fir the surgery choice, is that it is the only way you will know several vital thIngs.
Gleason score. Until the prostate is removed and placed on the pathologists table, the final Gleason cannot be determined.
Escape of PC. Without surgery, it is cannot be determined if PC has escaped the capsule, invaded the seminal vessicles, or reached the lymph nodes.
That is just fact.
That being said, if I had a Gleason 6, low volume, a low PSA, seeds would have been a no brainer. As it is, with a Gleason 9, I am fighting for my life, so I was forced to take the "radical " approach of surgery. Side effects for me are just the cost of attempting to beat this sucker. I did it with my eyes wide
Good luck to you.
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