Decision time on salvage treatment ..i am torn

Well, the first time should’ve been easy do surgery and get this crap out of my body but I chose the other radiation and now I have a reoccurrence.so I’m a candidate for both salvage surgery. Also cryotherapy and radiation radiation is out of the question. I’m not even thinking about it didn’t work the first time I don’t have trust in him and I don’t want put any more radiation in me …

I have 2 top urologist, thinking that the radiation didn’t get it all and this is the same tumor. Just a very small part of it about 1 centimeter PSA 1.6 right now. Everything seems to be enclosed.

dr 1…ucsf Head of urilogy surgeon ….thinks i should try 1 more focal treatment hoping that will take care of it ..if need be can do surgery if there is another failure ..my thoughs were ok ..since it was a failure and technically not a reoccurrence since it looks like the same tumor cryo may knock it out for good . But i have learned after 2 local treatments surgery is almost impossible tooo much scare tissue..hmmm why would this 40 year veteran tell me we could go to surgery if thete is another failure …..I am not going to call him out

dr2 ucsf cryo specialist.. thanks I am a good candidate for this also says that all of the Cryos he does are high-risk because when you have a failure usually comes back always high risk also says that no matter what I choose surgery, radiation or cry I only have a 50% chance this is why they suggest cryo it has the least side effects. Also, he did say we could do it a third time if necessary as long as it’s not close to the urethra, I must get clarification on this.

Dr 3 ucla professor head of urology surdeon …says inam a candidate for surgery and cryo ..cryo 50 chance less side effects surgery about 70 a bit more side effects The risk of incontinence goes from 5% pre-radiation to 20% after the radiation and the risk of total incontinence goes from one percent pre-radiation to 5% with radiation. The biggest complication is separating the prostrate from the rectum. He said that if he could not do it cleanly, but he would abort the surgery, but in the past that has not been a problem and he’s done over 3000 regular surgeries and 24 salvage surgeries so I will meet with him again Tuesday a phone call and I’ll ask him if he was in my shoes what would he do? I am very heavily leaning on surgery . Butttttt he may even tell me to do cryo and here is why apparently this is the same tumor the 3 of them except the radiologist, of course agreed that the radiation treatment did not get all of it why…. it could’ve been missed or the crib form could be radiation resistant, and I would actually feel better about cryotherapy, knowing that it’s just failure and not a new growth. Now you can see why I am torn, I know he’s not a radiologist but he did say we know that crib form can be radiation resistant and I flat out asked the radiologist that and he said no wow just wow I cannot believe that radiologist would say that I just lost all faith in. anyway any thoughts on this much? I hate to do it but im leaning taking it out Roll the dice and hope I’m not the 20% with mild or 5% with severe incontinence when it comes to errctike function I’m not too concerned about that. Thanks for listening.