Many surgeons do not want patients to have HT prior to surgery, as it makes the surgery much more difficult in general, and can lead to higher incidences of positive margins.
As far as HT added to SRT, still not convinced, Snuffy or no Snuffy. I met with 3 RO's before my decision, 2 strongly opposed mixing HT with SRT, the one day that did think you should, when pushed, he told me he couldn't prove I needed it, and he couldn't prove that it would help.
As far as some of guys that you mock about HT side effects that haven't had HT yet, I know what the side effects of getting bit by a Cobra are, but I don't have to experience it to get the general idea. From being on this board for going on 3 years, I have read more negative comments about the side effects of HT, then I have positive ones, and that's just among our small group.
Quality of life issues are very personal and very subjective. HT can be very effective in slowing down cancer, but it comes with a price. Not all of us are willing to jump on the wagon unless proven beyond a shadow of a doubt, when and if needed.
david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10