Newlife, I chose Surgery for the following reasons....
1. I want to see my PSA drop to zero (assuming treatment is successful) very quickly, rather than gradually with a few bounces along the way, possibly over a year or more.
2. I wanted to know the final pathology/gleason score, etc. 30-40% of Gleason scores are upgraded from biopsy to post surgical pathology
3. I felt I would rather deal with side effects up front, rather than the POSSIBILITY (not always) that side effects might appear 5 years down the road.
4. My MRI showed a high likelihood that cancer was confined to the prostate, so I thought, get rid of the prostate, get rid of the cancer.
5. I had access to one of the best surgeons in the country, maybe the world, which gave me confidence.
This is a very personal decision, and I think personality (as well as pathology) has a lot to do with it. I need certainty, the surgery satisfied my needs. Others will place more importance on minimizing risk (of invasive procedures). Some will have other health issues that dictate radiation, rather than surgery.
FWIW, I was told by the Radiation Oncologist that I met with, that my chance of cure was the same with either surgery or Radiation. So again, it comes down to whats important to you.
Rising PSA from 2008 through April 2013
PSA 2008 - 2012 .7 TO 2.2
Dec 2012 - Biopsy, 14 core, nO PCA, one core HGPIN
4/13 PSA 2.8, FPsa 11, PCA3 13, 10/13 PSA2.7 fPSA 15
4/14 PSA 3.1 fPsa 16, 10/14 PSA 4.3 fPSA 12 PCA3 26
11/14 BX 3/12 cores + G610%, G6 20%, 3+5=8, 70%
2nd opinion Johns Hopkins, all G6 10%, 20% 80%
3rd opinion MSKCC all G6 10%, 15%, 70%
RALP scheduled January 6th 2014
Final pathology stage pT2c, upstaged to Gleason 7 (3+4)
ECE, Margins, SV, Lymph nodes (9) all negative, PNI present.
5% involvement of Prostate by tumor.
My story, at tinyurl.com/qgyu3xq