I had Image Guided IMRT (radiation - not seeds). The following is what I learned and know. Please understand that each of us learned and know different things. Since I am not a medical person, I do not recommend a particular treatment. I'm not qualified to do so. But I am happy with my treatment and its results to date.
Urinary problems are more likely with surgery.
ED problems are possible with both. Perhaps worse with radiation if the surgeon is really good.
Bowel problems are more likely with radiation.
Complications due to surgery do not happen with radiation.
Most of the stats re: radiation are out of date. Most of them reflect the results of plain old EBRT and not IMRT, or IGRT.
You pays your money and takes your chances. Sorry to say that, but I think you know that by now. There is no perfect choice. Good luck on your choice.
August of 2006, PSA up to 4.2 from 2.7 one year ago.
October free and total PSA 12% free and 5.0 total.
A month, or so later, 4.7.
Late in the year decide on Image Guided IMRT.
Begin 43 treatments on January 23, 2007 and finish on March 23.
Four month post treatment PSA is 1.9. (This is a very good result.)
No side, or after effects. None.
I have aged a year and am now 63. How did that happen?