Apr 21, 2012 - 1:53 pm
I was diagosed last week after biopsy with 3+4 result. I am 51 and weighing options. Have always valued quality of life over quantity. My first instinct is to let nature take its course. It was not long ago we did not have routine PSA testing that started me down this road.
Doctor recommends robotic surgery. He says at my age the side effects / damage from radiation options might be significant some years out, while an older patient might not live to ever realize them. I am very concerned about urinary control and sexual function side efects of surgery. He says chances are good that nerve bundles can be preserved and and that I should have favorable expectations that urinary control can be restored not toolong after surgery. My initial (weak) knowledge-base implies reasonable statistical probability that I will regain urinary control and sexual function after surgery, but still to much uncertainty. I plan to get a second opinion soon.
I know if I let it go and live until it metastasizes, that it is a terrible death. I have lost friends to PCa. But, that could be some years off, and I could have several high quality years before that.
Torn about what to do.