Hi. I have been lurking on this most informative board for almost a year now. My dad was diagnosed with prostate cancer in November 2009. He is 69 years old, in excellent health and I want to keep him around forever. He, on the other hand, wants to live a life of quality vs quantity and therein lies the rub.
I do not have all of the information that I need to properly inform you of his status but this is what I do have....His PSA in Sept 2009 was 4.4 rising from 3.8 in March 2009. This is what prompted his MD to refer him for a biopsy. The biopsy was sent to Bostwick Labs and showed 2 out of 12 cores positive. Both are in the right base with the most peripheral being 10% positive and the one to the left of it 40%. He is a Gleason 6 (3+3). I believe it was determined to be a T1 tumor. His urologist (a surgeon) recommended radical prostatectomy due to his age and very good health/life expectation. We also saw a Radiation Oncologist who also sided with surgery due to my dad having a 50 cc prostate with urinary symptoms.
My dad considered Watchful Surveillance as he seemed to fit into the criteria. My mom did not find that acceptable.
So...seeds seemed to be the lesser of the two evils to my dad. He had the TUNA procedure to prepare him for seed implants. I learned that it was scheduled for OCT 11 and had a small coronary. I wanted to make sure we weighed all of our options (at least the ones he was willing to consider). IF he had surgery, he would have the DaVinci with Dr. Vipul Patel at Celebration Hospital. We had two scheduled appts which daddy dear cancelled.
My dad is most interested in the most amount of cure with the LEAST amount of side effects. He said for HIM there are worst things than being dead and he is speaking primarily of any life altering incontinence. He said he and my mom were never "Superstars" in the sexual arena which is something I did not need to hear.
With this limited information....what do you think? It is hard to get an unbiased opinion from doctors in their particular specialty. Surgeons want to cut...it's what they do. We have another appt with the DaVinci fellow and I am sure that is what he will recommend. But really and truly...which do you think offers the least amount of side effects overall and of course we want some time (my lifetime if I could have it).
Thank you for reading this never ending story and I really appreciate any and all help/advice.