Go see a PCa oncologist asap, I will say flat out that surgery is going to be non-curative and leave you with all kinds of possible issues (see some other posts of complications). You should have been put on casodex, even if doing surgery. I am alive and thus far and good, going into 10 yrs. soon with very comparable stats (12/12 all 80-95% PCa), was denied surgery by Dr. Menon and was righteously assessed by one of the masters in PCa. My other 6 opinions not mentioned as possibly curable and one biased surgeon guaranteed curative and 1% chance of incontinence and wrote it on paper and handed it to me (not lying). He is not in the class of Dr. Menon and was instead part of the uro-docs franchise group (Michigan Inst. of Uro.), thus a referral, found out later my uro-doc did do surgeries often but he would not even mention it to me (he did not want to be part of the failed scenario) but willing to refer and shipped me off to his pal. I didn't buy the phony the sales pitch and got 7 more opinions thereafter anyway.
In my opinion (free and worthless-LOL), consider various types of radiation proceedures (there are many with or without brachy seeding) and combo of ADT3 or similar concepts for HT therapies like ADT2, done prior to radiations as per Bolla studies and then continued thereafter. Read and google up Bolla Abstracts and see what survival stats show for radiations and HT combos...enough evidence is there to consider. I believe is your best considerations, perhaps Cryo via someone like Dr Bahn could be useful or maybe HIFU either in combo with ADT drugs. You could even opt for drugs only and read up on Dr. Leibowitz protocols and monitoring. If you want info fast on IMRT + Brachy seeding radiation programs,contact:
www.rcog.com (Georgia- radio therapy clinics of Georgia)
Both of these places have lots of experience with high risk scenarios and you can talk to them and they may have CD's or pdf files to send you. Always look to highly qualified experienced docs, this is no time to for signing up with just a nice personality.
Anyway it is all your choices, good hunting with whatever you decide. If you get surgery be prepared for these scenarios thereafter and soon: ADT drugs like Lupron almost immediately, then salvage radiation programs will be endorsed as necessary (total gamble in our scenarios) so you would be getting radiations anyway, then more drug therapies, then later on maybe chemo, Zytiga, Provenge or such protocols. This is no doubt the fight of your life...new therapies and drugs are in the pipeline (the most ever in history right now), so hope is eternal.
Post Edited (zufus) : 10/15/2011 7:36:26 AM (GMT-6)