Hi Collins -
I'm sorry about
your diagnosis, but you do have a LOT of good options. I hope you have read the sticky and have arranged for your biopsy slides to be re-read by Bostwick or Epstein as recommended there.
Of course the first option to consider is Active Surveillance (AS). That entails getting into a structured AS program and watching it closely. I've heard the Moffitt Center has an excellent AS program.
For surgery, you should only be considering Vipul Patel in Orlando. He's done more than anybody, and experience counts a LOT.
For SBRT, you have a great choice right there in Tampa - Debra Freeman. She's treated two online friends of mine with excellent results (full potency, no urinary or rectal SEs, and one even continues to ejaculate). To me there is no advantage to IMRT over SBRT, yet it is a lot more trouble and expense (5 treatments vs 40+ treatments), so I don't recommend IMRT for primary treatment (e.g., Dattoli) at all. For the same reason, I can't recommend proton, although UF Jacksonville is certainly a leader in it.
For LDR brachytherapy (seeds) you have John Sylvester in Lakewood Ranch. He is among the top 5 in the US. He was formerly part of the renowned Seattle group, and has more experience than almost anyone.
There might be an HDR brachy specialist in the Tampa area, but I don't personally know of any. I'd go with JNF's recommendation in Atlanta.
I recommend you visit with ALL of these doctors - even the IMRT and proton specialists. Remember that a specialist really knows his own field best, and you have to take with a grain of salt whatever he says about
other specialties. Your diagnosis gives you plenty of time to make the appointments, gather information, and do the self-assessment that is critical. Don't rush this.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 7 year results
treated 10/2010 at age 57 at UCLA
•PSA since treatment:
1/11:3.9 5/11:3.0 8/11:3.7 5/12:1.2 9/12:1.3 5/13:0.4 6/14:0.5
• SEs of treatment:
after 2 wks: mild urinary & rectal - last 1 wk
1 yr after: mild urinary