There are several salvage procedures after radiation, but surgery is difficult and thus isn’t used. Brachytherapy and focal ablation are both used with good results.
The thing is, very rarely does radiation fail because it has a larger kill zone than surgery. When radiation fails, it is most always because the cancer was already out of the radiation and surgical field before treatment started and neither would have cured.
In your case you show no indication that you have anything to worry about
and I would think you would continue to pursue AS. And with your risk profile, surgery would be over-treatment. SBRT and mono-therapy brachytherapy would be as good or better than surgery fro cancer control and far less invasive than surgery. The radiation treatments generally present less significant negative side effects.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010.
PSA < .1 since February 2011. Located in Cumming Georgia north of Atlanta
Post Edited (JNF) : 3/27/2018 8:37:40 AM (GMT-6)