Re: surgery or radatition treatment
Hi William, and welcome...
I'm not going to try to answer what is the "best treatment course" for you; but, I'll help offer guidance and answer questions along the way to help you decide what might be best for yourself. Some of the treatment modes seem to have evangelists who's personal mission it is to "sell, sell, sell" whatever mode they chose for themselves. I won't do that do you.
The advice I have for starters is to get yourself some of the very solid reference materials...you will use it now, while in educating/decision-mode, and later during treatment and beyond. Look for the book (online booksellers) "A Primer on Prostate Cancer: An Empowered Patient's Guide" by Dr Stephen Strum. That's what you want to be...an empowered patient! You will do that by educating yourself about prostate cancer, and what the pros and cons are of each treatment mode. In general terms, you will find cancer control for surgery and radiation to be roughly the same (and very high levels of control) for the very commonly occurring low risk cases, and the side effects net out to be very similar...with an inverse impact curve (that is, radiation has almost no side effects short-term but tends to have longer term and consequential effects down the road, whereas surgery side effects are immediate but tend to diminish over months) You own personality may play into how you want to address these effects...so, there really is no "one size fits all" best treatment course.
Best first step: order the book; you will want reliable resources to educate yourself.
Also, in order to offer further help, I might suggest that you also reply back with the rest of your key clinical information: DRE results, how many biopsy cores were found to be positive, what percentage of cancer in each core, what is your past PSA history (dates & results), was your Gleason 3+4 or 4+3...
Last edited by kcon; 08-05-2010 at 08:51 AM.