I had a large prostate. My urologist recommended that I try shrinking the prostate with hormones and then do Brachy. I did my research, .... to make a long story short, I finally chose DaVinci. I haven't been disappointed with the results; however, I have often wondered about the path not taken.
The only negative I have is the need for oral meds/trimix because of ED. Although this continues to get better .... slowly (knock on wood).
A positive from the surgery is the correction of the urinary problems ... as one of the modertors once stated, after surgery you will likely be able to push the deodorant puck up the back of the urinal. I don't think this would have improved with Brachy. Its nice to have cut my 10 minute stay in the rest room down to 30 seconds ... hmmm, maybe this is a positive quality of life benefit of surgery.
Anyhow, if you have any specific questions, please feel free to ask ... someone will know the answer.
PSA 2007 - 2.8; 11/24/2008 - 7.6; PCa Dx 2/11/09; age at Dx 62; RLP 4/20/09
Biopsy - Invasive moderately differentiated prostatic andenocarconoma; G 3+3=6; PT2C; No evidence of Seminal Vesicle or Extraprostatic Involvement; Margins clear; Tumor identified in sections from prostatic apex. 70 gram prostate. Continent after removal of cath.
ED - Trimix works well; levitra @ 90%
PSA - <0.1, 1/17/11