I don't dispute the idea that the stats can be used to try to predict probability, I agree with that. You can use any stats you want but you can be doing so with no bearing on how things will turn out for you. Many patients will base their decisions on statistics and that is not always the best plan... They don't apply to everybody and they also don't apply to every surgeon as we all know that surgeon experience matters. So when someone pulls out general study statistics and applies them regardless of age, stage, Gleason, and surgeon experience, and you use them, you may miss the opportunity to tailor your treatment plans using stronger logic. There are bad radiation oncologists out there as well so leaving that piece out of a decision process can backfire and I have seen it happen. (The VA Hospitals debacle with brachytherapy in Pennsylvania for example)
I will say that most will respond the question, regardless of treatment modality, that they don't wish for the "do overs". I completely agree with that. I have had men come up to me after RP and say they wish they had done radiation, and I have had men come up to me after radiation and say they wish they went another rout also.
My best advice for the poster is to get a top notch guy from both, gather the information they tell him, and make the decision that is right for them. Think about
plan A, plan B, etc. Try to place the scenario that the first attempt does not work, what would you do next? And so on...
Post Edited (TC-LasVegas) : 4/5/2011 11:25:18 PM (GMT-6)