There are so many variables in this game, that it is really hard to develop a prognosis for all. The other problem is that 9 and 10's are at the end of the bell curve, so the number of data points in the Partin tables are less.
One of the few advantages of surgery for prognosis sake, is that the pathologist can plop your prostate on the table and tell you with high precision what you had. With RT, or seeds, even tho positive margins mean nothing, or seminal vesicle involvement may mean less, it tells us the extent of the spread if the PC.
So now you are just at a waiting game. After the RT, and the HT, each 3 month interval you remain with an undetectable PSA, will allow you to enter the numbers into the Nomograms, and watch your cure percentages grow. It would appear that we can sort of count on 10 years of a relatively stable life, unless the PC has already metastasized, or at least that is what I am counting on, even if BCR should occur.
After 30 months, I have watched my cure percentages go from 65 % to 75 %.
Welcome to HW, and good luck.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9 Da Vinci, Cleveland Clinic 4/14/09 0/23 lymph nodes involved pT3a NO MX, Cath and 2 stints for 2 weeks
Neg Margins, blad. neck. PSA 6 wk,<.03, 3 mo. <.01 (dif lab), 5 mo. <.03 , 6 mo. <.01, No pads, 1/1/10, 9 mo. < .01, 1 year .01, 15 mo. <.01, 18 mo. .01, 21 mo. .02, 24 mo. .03, 27 mo. .02 , 30 mo .02.
Post Edited (goodlife) : 11/14/2011 9:02:47 PM (GMT-7)