HDR brachytherapy can be used for salvage following surgery and other radiation. See www.cetmc.com the website of the HDR pioneer Jeffrey Demanes, MD, head of Brachytherapy at UCLA.
I have yet to hear from any of our members that their urologist suggested second opinions on biopsy readings or send to Bonkhoff or Bostwick for additional readiing for ploidy, etc. To John T's points, these are usually only ordered because the patient felt the need for more information before deciding on the treatment. Who here, other than maybe Zufus, knows the ploidy of their cancer, let alone the many other factors that can influence the effectiveness of the treatment?
I am fortunate that my urologist required me to get second opinions from another urologist, two rad-oncs, and a med-onc before he would take me as a patient. He uses only Bostwick for biopsies and PSA tests and he normally orders the full range of tests from Bostwick. When I asked about Bonkhoff, he said sure, but pointed out that several of the tests Bonkhoff runs, Bosteick does as well and that the Bostwick tests normally suffice.
JohnT is right on about knowing all you can before you decide on the treatment....DavidG is right that treatment must be effective, but the detective work must come first. As the master carpenter always says, measure twice...cut once.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010.
PSA < .1 and Testosterone less than 3 since February 2011