iamretired - I'm just going to call a spade a spade here - you are very opinionated and I for one don't understand as some of the things you are stating are simply, well, incorrect. Believe me I get the anger part, we all go through stages when DX'd with this beast! But stating that Brachytherapy is not a safe thing is simply wrong. In the old days there was a SLIGHT risk of seed migration, but in today's world they use what are called "stranded seeds" and now the risk of seed migration is < 1%. Are you aware of that? Also stating that "radiation will burn my nerves anyway and I would be worse off than before" is not a correct statement. The placement of seeds is very precisely done and in fact the SE's are minimal; if you send an e-mail to me I would be happy to reply with copies of studies that I have purchased and/or downloaded that will provide FACTS to some of the statements you have made.
You also stated that "The Urologist cannot feel or see the other side of the prostate, nor sample it." There is another form of biopsy called "Stereotactic Transperineal Prostate Biopsy" that "is performed by taking an average of 40 samples of the prostate through the perineum while the patient is under general anesthesia. Performed as an outpatient procedure, it allows more comprehensive sampling, compared to the transrectal method, which takes fewer samples through the rectum. Unlike random sampling with transrectal prostate biopsy, with the extensive template-guided approach, they are able to identify exactly where the positive and negative specimens were retrieved. This allows for more sophisticated treatment plans for those with positive biopsies, and relief for those patients whose biopsies were negative."
I've been sitting on this post, not sure if I should send it or not - because I absolutely do not want to try to tell you, or anyone else, what to do - we are all different, our cancers are all different, and this is not only a very personal decision but also most probably one of the most important decisions we have to make in our lifetime. But since you're now reading this looks like I decided to hit "Submit" anyway = why? Because I/we CARE for you brother. . . . . . Now I'll apologize for hitting you right between the eyes with the first two paragraphs of this post - but at the very least try to understand where I, and others out here, are coming from. . . . .
Again, Peace - and my very best to you as you continue down this darn path. . . .
55 yrs old, excellent health - DX'd with PCa July '12
9 of 12 Gleason: 3+3 <5%, 3+3 <5%, 3+3 <5%, 3+3 <5%, 3+4 5-10%, 3+4 <5%, 3+4 5-10%, 3+4 30-40%, 3+4 15-20% (All neg perineural invasion)
Negative DRE’s / NO / MO / T1C / Gland size 40gm / Vol. 22gm
Volume Study 8/14/12
Casodex 50mg daily short term, 5 wks prior, 2 wks post BT
LDR BT on 9/21/12 – no issues
Post Edited (A Yooper) : 12/6/2012 6:36:23 AM (GMT-7)