Mel, the point is that there are salvage backups to BOTH surgery and radiation. So, choosing surgery "because there is a backup" is faulty logic. The reason it is faulty logic is that there are salvage backups for BOTH...so the backup "advantage" to choose surgery just does not exist.
You asked me to elaborate on the backups for failed radiation. I and several others have done that many times yet you keep asking the same question. On a thread on December 6 of this year I referred you to a thread from JohnT from 2009...here it is again: www.healingwell.com/community/default.aspx?f=35&m=1625554
I urge you to read it.
JT has made this point on numerous occasions as I have and as Yooper has. How much more specific do we need to be?
Additionally, Yooper has told you the following:
"Can't believe there's still a discussion about
the OLD argument of posturing surgery as a primary treatment because then if you have a recurrence then you can go the radiation route but not vice-versa. That's pretty much old/outdated thinking (unfortunately still being promulgated by many) right along with (cue music, "da da da daaaa!) "The Gold Standard."
There is plenty of information out there about
the options if radiation fails - and as one would expect they come from the radiation guys. For example - from Dattoli: "Patients experiencing recurrence following single modality radiation are often eligible for additional treatment using a different form of radiation. For instance, the man who had EBRT alone may find benefit from a small dose of DART followed immediately by seed implant (depending on the
location of the active cancer cells).
Men who had seeding (brachytherapy) alone might benefit from additional seeds of a different isotope. If he had Iodine-125 seeds, he might now have Palladium-103 seeds (referred to as a "crossover isotope"), or vice versa, and DART to the surrounding periprostatic tissue and relevant lymph nodes. Often these post-radiation recurrent patients will be prescribed hormonal therapy in addition to the new radiation."
There's plenty more out there as well, it's just newer information versus the old. I for one have done much research on this as I always have a "Plan B" in my life, and in the case of my own PCa for me should I have to deal with recurrence I would go to Dattoli. I made THAT decision as part of my own intensive due diligence leading up to my decision on primary treatment."
Geez...the FACT is that there are numerous salvage opportunities if original radiation fails so when urologists promote a "backup plan in case of failure" they are telling the truth but just omitting some additional truth that every new patient should have.