I had the same feelings you have. And when I had to sign the release to go ahead, I was even more concerned, as it was far more specific and dire than the general warnings I'd heard before. Yet, with just two treatments out of 39 left, I'm doing (knock on wood) very well. My doctor even told me I could forgo the four-week follow-up and see him in three months.
So, you want to make sure you have confidence in your radiation oncologist. If he has performed this treatment a lot on PCa folks, is up on the latest techniques and has state-of-the-art equipment, you should be just fine.
Here's another way to look at it: radiation still gives you a chance of cure. Let's say it's 25-40% (kind of a guess as I don't know your stats). Note that chances of cure go down as your PSA rises before radiation. Your chances of nasty side-effects may be 3% or less. So is it worth risking a slight chance of nasty side-effects for a slight-middling chance to be rid of the disease for good and all? Plus, none of the other alternatives is potentially curative, so you'll be living with side-effects from other treatments for a long time.
But if the odds still don't feel good enough, then you might want to go for hormone therapy and try to keep the disease at bay until a better alternative is discovered.
Best of luck with your choice.
Age 59 Gleason 9
1/10 PSA 14.7
5/10 Bx: Gleason 3+4
8/4/2010 RRP: Gleason 4+5; Positive Margins, PNI
Incontinence: N/A; ED: 70%
Until 4/11, PSA <.01; 4/11: .01; 6/11: .03
ADT3 started 7/20; WPRT started 8/22
Post Edited (Riviere) : 10/13/2011 11:17:08 AM (GMT-6)