I was set to have daVinci surgery until yesterday. Went to Dr. David Schreiber in Denver to discuss radiation options. Since I have cancerous cells in both lobes, he told me that I had a 50% chance of impotence with RP - either traditional or daVinci - because they cannot take any chances by taking less tissue on one side. The nerves on both sides will inevitably be damaged. I am Gleason 3 + 3 with a PSA of 5.1 and T1c. Cancerous cells in one of 13 biopsy samples on one side (< 5%) and one of 10 cores on the other side (<5%). I am now seriously considering seeds as the probablility of cure is the same and the probability of negative side effects is probably much less. Because mine is early stage I will not have to take hormones or EBT. Schreiber says he does 400 a year in his clinic and is one of the top 5 Brachytherapists in the country. As well, this is outpatient surgery with almost no down time. Some of the posts on this site and others report more side effects than the Doc told me, so I am still researching side effects of seeds. He dispelled most of the myths that others report as negatives of radiation, including the myth that you can't have the other forms of treatment - RP, EBT, etc. - after seeds. If my chances of impotence are much lower, I see no reason to have surgery at this point. He uses new palladium seeds that are easier on the body than the old iodine seeds. Best of all is that I will be able to get it done in about two weeks from the time I schedule. I was at least two months out with daVinci. I would appreciate any thoughts to sanity check the information I was given. Thanks in advance for your input. My best to each of you in your quest for a cure.
Thanks Kurt and Courtney,
I will check out proton. I just turned 58 and have two younger kids (21 and 16) so I have to do this right to be around for them. What reason did they give to turn you off of seeds? Thanks again for your input. God Bless both of you.
You go girl