Everybody has their own opinion and mine was to go RRP. Turns out i fell into the "2%" that are 100% percent incontinent. Not a good recomendation for that approach but i still like the idea of having one more bullet in my fight if it comes to that. A close friend had brachy and he had a terrible time for about
3 months till the seeds died down. incontinence, bowel problems and upset stomach and generally felt bad. My bad experience with RRP and my friends with brachy are anecedotal and don't mean much statistically but the down sides of all the treatments are real, or they can be. I would be sure to talk and listen to the doctors that perform the other treatments as well. Once you decide and go forward you are stuck with the results. I wouldn't say your are "lucky" but you are fortunate in one regard, with a gleason 6 you don't have to rush into any one treatment and you have all treatments as options at this point. If you chose any type or radiation, beam or brachy, you are done with maybe your most effective treatment. RP, you still leave radiation on the table. That said, even though I have no facts to back this up, I wonder if radiation is as effective if it is performed after RP? Maybe my thinking might be skewed from being member on this site as we tend to be those who have one or another lingering issues after our choosen treatments and our results and concerns may not the the best guidance for initial effectiveness? However if you have continuing issues, then we may be a great, maybe the best, source of information and advice. Again, this is just my opinion and you know what they say about
opinions. To sum up " my opinion" , take your time till you are sure then don't look back. I think statistically all of your options, except maybe AS, are pretty much the same for your chances for a one shot cure, i hope your treatment is a one shot and welcome to the group.
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent @ 12 months
ED, pre-op severe, post op total
10/10 Dr Boone, Methodist recomended AUS
AUS/ IPP performed 1/11/11 Methodist Houston
post op psa's 0.04,<0.1,<0.1,<0.01@12 mo.
Post Edited (knotreel) : 11/22/2011 3:21:25 PM (GMT-7)