My one wish for new guys is to stay open-minded, take the time deeply learn about options and determine what’s most important to you, and then make a most informed decision.
I would add a wish that the urologists we go to for dx do the same. Neither uro I consulted talked to me about
radiation as a primary tx or suggested I consult an oncologist. (One of them I saw only pre-biopsy, but I specifically asked him if it turns out to be cancer, what are my options.) I'm not saying I couldn't have done more research on my own into options other than surgery, but it sure would be nice if more first-line medical professionals would help us to slow down and would broaden our (and their) view.
PCa is the first major medical problem I've had, and the learning curve about
the decision process itself has been steep. Whether or not RP was the best choice for me is debatable, but I didn't really have that debate. I feel fortunate, under the circumstances, that I found a top surgeon whose office, halfway around the world from the remote island where I live, has given me superb and compassionate support at all points pre- and post-RP. I feel equally fortunate that I've found this HW community. You folks have educated me about
best decision-making practices, and I'm already finding those lessons to be invaluable as I consider whether to do ART while the PSA's undetectable or wait for a PSA trend and do SRT. Thanks, everybody.
Age 60 at dx
Dx July 2017 after biopsy G8 (4+4), 5/13 cores, bone scan clear
RARP Aug 11, 2017 (Dr Patel)
Post surgery pathology: pT3a, tumor 30% of gland; EPE+, SV- and 3 lymph nodes clear
PSA 1/2016, 2.9; 4/2017, 7.2; 9/25/2017 (first post-RARP), 0.13; 10/10/2017, <0.05