It seems as if the seed guys are pretty happy with their results (as are many of the RP guys).
It does seem though that the side effects are much less with seeds than RP. Am I missing something?
It's a shame that when folk ask a legitimate question, and others give an opinion, that some are quick to brand them as inexperienced and hence unworthy of being listened to..
The question raised is one of the most basic questions that a PC Sufferer needs to ask.
I was just so lucky that I had some contacts in medical circles. Of those that I contacted and declared that I had a G6 AC, all responses suggested "If it was me at age 60, I WOULD NOT have radiation."
More interestingly, two of those who responded were top professors in radiation-oncology.
NOW - Why would Radiation Professors suggest that I NOT have radiation as a FIRST choice ?
They told me to keep radiation as a backup !
The total irony is that those who boastfully declare that they had radiation and they are back at it like rabbits, have something to learn, and they should enjoy it whilst they can, because 66% of men who have radiation, develop full ED within two years.. Did they read the book by Professor Chapmanses.library.usyd.edu.au/bitstream/2123/6835/3/Let-sleeping-dogs-lie.pdf
and, according to the the statistics, that's it !
Whereas for those who have an RP, there is the hope that things will improve, but still 66% are decidedly bedroom-challenged at 2 years.
The fact seems to be that with an RP, there is still the capacity for further salvage therapy, if it is needed.
and that, after radiation, the Prostate is "Cooked" and as such the concept of delicate surgery becomes a thing of the past. and, it continues to degrade for the next years, and there good chances that your problems will start from that time.
So, to Gleeson6
, can I suggest that your question ... "Am I missing something?" is most appropriate.
If you approach a radiation doctor, they want to sell you on Radiation, and likewise a cutter will want to sell you on being cut.
In your position and from what you have described, you would be likely one (like me) of those with the 95% chance of FULL recovery with an RP (ie long life), but understand that ED is a side effect that 66% of ALL men WILL suffer from.
Most men WILL be ED challenged after the RP, and 33% will recover by the end of year two. 66% will be challenged.
Radiation hopefully kills the cancer. An RP removes the cancer !
Most men after radiation, will have no ED problems at first, but will reportedly develop such within 2 years.
Now ask yourself the question - why do the hospital staff leave the room when administering radiation..?
Simple - ionising radiation causes cancer..
I bumped into a friend a few weeks ago who had radiation treatment 10 years ago.. The oncologist actually said that the new cancer was caused by the treatment radiation.. Such honesty !! ie.. It does happen.
For you as a patient, treatment becomes a gamble according to your age. At 61, radiation is not preferred as subsequent radiation damage, might shorten a life.
At age 70, radiation might be a more acceptable risk
and at age 80, a likely preferred treatment.
Your call is to chose a treatment that gives you the BEST second-choices, should the unlikely , actually happen !
As far as ED is concerned, understand that all will not be lost. The way you express your love might change but will likely not be gone !
Chin up.. I suspect that you have a long life to live !
Nov 2009 = First-PSA 5.3 @ 60yo - Asymptomatic - DRE-Non-Palpable
Jan-'10 = TRUS Bx DX - AC T1c - GS(3+3)=6 , 5 & 45% max., L-MidZone
May-'10 = RRP-Nrv-Spare
Post Op. GS(3+4)=7, 1.1cm3, Pos Margins, EPE (focal) Lateral Left
MI(xtensive) Post, Grade3 x 8mm
+8week PSA<0.01, ED-85%, Incont-30%
+16W PSA<0.01, ED -85%, Cont -5%
+17W First 'DRY' day. ED -90%
+26W ED -60%