I don't think you are going to be able to know for sure, because rarely are the studies provided by unbiased investigators. For example, the figures given at the study from prostatecancer.org linked to by John T is done by: "Doctor Peter Grimm is the Director of the Prostate Cancer Treatment Center in the Seattle area. In the late 1980’s he pioneered, with his partners, low-dose brachytherapy technique known as seed implantation for prostate cancer. "
Now don't get me wrong, I am not saying that his stats/results are not dead on, they may well be. Would not surprise me at all. But his results show much better cure rates and much lower SEs(except for bowel) for seeds and seed/EBRT than surgery, especially for other than low risk. And, I do not personally find this hard to believe, and I do believe it when it comes to the SEs, with only bowel related being worse for RT and all others being better.
However, I have now seen several large studies showing much better results for surgery than Doctor Peter Grimm's study from above indicate , even with high risk patients. I have even seen studies showing BETTER results with surgery than with seeds/RT. But guess who did those studies? One hint: NOT RT guys!
For example, there is this study of surgery done on high risk pts:
And if you don't mind getting your info from the folks who manufacture and sell DaVinci robots, here is some info showing surgery ( some
open, some RRP) to be clearly superior to various radiation and/or hormonal approaches:
Since I had surgery and have had a some definite distressing SEs, reading these latter, pro-surgery studies plus a few other studies make me feel a little better about
it all. But I am also well aware of the old saying which confirms human nature: "If a man has a hammer, everything looks like a nail". What type of hammer do your advisers have? A knife hammer, or a radiation hammer? Something else?
Good luck on figuring it out. I lean somewhat towards seeds or seeds plus EBRT, but even looking at all the pros and cons after the fact it is not easy to proclaim the correct choice.
Post Edited (BillyBob@388) : 9/8/2014 8:19:54 PM (GMT-6)