....Surgeons should be held to higher standards when they explaining treatment options. Actually salvage surgery after radiation is possible, but very difficult and infrequently used.....
....The incidence of radiation failure is generally less than surgery and significantly less than surgery in the high risk cases.
So the lesson is to do your research and get information from the expert source.
I sure do agree that everyone should do in-depth research and get the best data they can from expert sources, like printed material, large medical center web sites, visiting expert physicians, and reading clinical research studies, NOT from, one-off, anecdotal stories on a public forum.
I have been seen by specialists at no less than five would class medical facilities, have read literally thousands of medical studies, and corresponded with at least a dozen other, world class physicians, mostly very generous radiation oncologists. If there is one thing I've learned, it's that there are no "for-sure" answers, or perfect treatment paths. I've gone though surgery, radiation and hormone therapy. Without any "ax to grind", none of them are a picnic.
We are also in agreement that too many surgeons oversell surgery, just as too many radiation oncologists undersell the side effects of being zapped and even more so, the lifelong altering impact of hormone therapy. That, in my experience, is just as egregious as surgeons not understanding the fine points of radiation.
I have never seen definitive data proving the conjecture of radiation being more successful than surgery. Prostate cancer variables are just to infinite to prove either is better than the other, and monitoring the results over a lifetime are far to arduous. I suspect one reason some believe radiation is better, is that the after effects of surgery are usually obvious and immediate, while the after effects of radiation tend to be milder, more insidious and occur over a much longer time horizon. So the complaints about
surgery are also immediate, and in some cases very loud.
Everyone of us has an inherent bias. We've all have had very different journeys, successes, and failures in treating our PCa, and it usually firms up our individual opinions on what does, or does not work, even as every situation is different. The one thing we all agree on however, is that one size does not ever fit all, and as was said earlier, "do your own research and get the best information you can from expert sources" about
your own unique situation.
Good luck on the journey of discovery....
Post Edited (garyi) : 3/14/2019 2:40:27 PM (GMT-6)