F8 - View your RO as an insurance salesman then...? Most specialty doctors benefit financially when their treatments are chosen so proceeding with healthy skepticism is always a good idea.
Bigcat - Historically, RT was associated with long term side effects that may take years to develop so younger patients might have a longer life to develop them. Modern radiation equipment and treatment has probably reduced that concern considerably although there is always a very small chance of radiation causing other cancers which is why radiation is generally avoided in life unless there is a corresponding benefit to its use like PCa treatment.
Surgery patients tend to fare better the younger they are thus the logic regarding radiation for older patients and surgery for younger patients, all things otherwise being equal. I am not so sure this is true anymore but is why the Uro calls you a “tweener” at 56-57, obviously not young or old.
These are the questions that you ask of the doctors you see so it is time to start making a list for all them so you get the answers you need. My RO had a nice booklet they gave me and went over every possible side effect and the probabilities of each based on their experience and my specific case. My Uro had some similar info that described and graphed their patient’s experience with continence and ED For 2 years after surgery and discussed age related issues.
At the end of the day, it is a bit of an apples vs. oranges comparison of proposed solutions to your PCa problem. Only you will be able to weigh all the factors at the end and make the decision that is best for you. That is why getting multiple medical opinions is good and allows you some time to digest everything.
I hope my uro made two porsches off of me. I didn't cost me a penny except for $15 office visits. no deductibles, no copays. and so far the treatment has worked just like he and the radiation oncologists said it would. I get erections whenever I want (and sometimes when I don't want) and have never pissed my pants.
the problem with uros is they know at first you just want to live. you just "want it out". and then he looks you in the eyes and says "I can get it all" and if I don't "we always have radiation to fall back on".
the uros are the reason that many believe it's better that you don't know if you have cancer because you will be overtreated.