Sorry I missed your thread earlier.
My top pick at Sunnybrook would be Andrew Loblaw. He is their SABR (SBRT) maven, and can refer you to the Sunnybrook specialists in both kinds of brachytherapy. Sunnybrook is one of the few places where you can get SBRT and HDR brachytherapy monotherapies for high risk prostate cancer. They also offer LDR brachy+IMRT combo therapy for that, but that might have higher SEs than the monotherapies.
I also suggest you look at the questions for doctors that are in the sticky.
To address the issues in your post...
By definition, including the G8, and PSA 11.5, isn't that T2A/B?
No. Stage is different from Gleason score and PSA. However the fact that he felt nothing (T1c) is immaterial because your GS 8 puts you in the high risk category. The important part about
your stage is that it appears to be contained - that means that all radical therapies are likely to be curative.
He says that it [open surgery] leads to better outcomes in his practice overall.
Aside from wound healing issues, it doesn't matter as long as the surgeon is equally experienced in robotic or
80% odds on a happy erection day
A tremendously inflated number. Overall, the odds of having a functional erection after nerve-sparing surgery is 43% for men 50-59 years of age.
his confidence is comforting
I think that's a character trait of surgeons, at least that's what I've always found. What one man perceives as knowing assurance another perceives as a "hot dog." For me, I'll take a nerd who raises all kinds of doubts and questions because I prefer to have reasonable expectations, but we're all different.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA
•PSA now: 0.2
No lasting urinary, rectal or sexual side effects