I recently turned 44 and was diagnosed on September 3rd, 2011. PSA at the time was 3.0 and now 6.6. 1 core sample, 2%. Gleason 6. I have spoken to probably 10 different docs including Urologists and Radiology oncologists. RP seems to be the most common recommendation but I rather do radiation as I feel once my prosate is gone, it's gone. Radiation can have longer term effects but science can deal with some of those or at least that's what I'm counting on. I believe surgery is being recommended as I am so young and the long term effects of radiation, particularly ED and the possibility of a new cancer are more probable. Also, since I have a small amount of cancer, surgery seems to be the best way to get rid of it once and for all. I even had an oncologist tell me I should have surgery. That freaked me out.
I am young recently divorced with 3 small childrenn, otherwise healthy and have an active dating/sex life. Incontinence and ED are not an option but I understand I will never be the same and likely will suffer from one or both in some form. I keep going back and forth. Even if I did decide on surgery...open, Divinci, what doctor? I live in the South Florida area and keep hearing of Dr. Patel in Orlando. He has done over 5000 robotic surgeries but who knows if he is doing them or watching a student do it? Same with radiation, seeds, external, cyberknife? Who is the best at any of these? I can't be 60 regretting radiation due to long term effects. Every doc thinks what they do will be effective but I want to hear from those who had radiation over 5 years ago. Anyone go to Datolli in Sarasota?
I'm all over the place and this is taking a huge emotional toll on me. Sorry for the long post. Thank you!