Dr WHO said...
I went for surgery as you can have radiation as a secondary treatment (I did, as well as hormonal). If you have radiation you cannot have surgery as the radiation messes up your insides to the point that they can not operate.
Well, this is generally true but is misleading without an added comment and is NOT a good reason to choose surgery. What is left out of this statement is the fact that there are good salvage options after a failed radiation treatment that are just as effective as salvage radiation after failed surgery. Many urologists will use this "backup" statement as persuasion to have surgery and it's a bogus argument in my opinion.
Re Active Surveillance, there are some programs that will accept you as a G7. But that would be a 3 +4 and not a 4 + 3 and would require few cancerous cores with small percentages of cancer. Mike you need to give us fuller details re your diagnosis for us to give you better advice. I will also repeat my advice about
getting a second opinion on your biopsy slides from Bostwick or Epstein (details on how to do so are in the sticky thread). Once you get the EXPERT opinion you will have real knowledge about
your case and can move forward to decision making.
You are likely to be cured with either surgery or radiation. Re radiation there are multiple types, LDR Brachytherapy (seeds), HDR Brachy, SBRT and IMRT. You need to talk with experts in each of these in order to get a full understanding of your options.
In my mind, the differences in choosing surgery vs. radiation comes down to value propositions. Both will cure you in all likelihood. The main value proposition of surgery is that you get immediate knowledge of your exact pathology. The main value proposition of radiation is that you have a better chance of avoiding the bad side effects of ED and incontinence. You have to decide which is more important to you.