Originally Posted by
cptw
Eliminator,
I'm very sorry to hear or the diagnosis and glad you caught it early. Looks like you've done some research and I do not know where you are located, but hope you have investigated all of the options available to you. Forgive me if what follows is unwanted advice and old news to you.
I do not pretend to be an expert - just another man recently diagnosed and it sounds like with a case a bit further along. After my biopsy I was scheduled for surgery and told that there were no other good choices by my urologist (the chair of a major cancer center in the US).
I've since learned otherwise.
Urologists are surgeons - and too often believe that radical prostatectomy is the best or only choice. The hammer sees everything as the nail, sometimes even with the best intentions.
Surgery can be a good choice, but far too many are ordered. For some, depending on the particular stats and mindset, the option of waiting (active surveillance) is the best. If we live long enough, most of us will have some level of prostate cancer. It is not one disease, and for many it is slow and can be managed without radical therapies. Make sure you are not getting unneeded treatment, but do so prudently and with vigilance.
This surgery is serious, one of the most difficult, and the side effects certain initially, and far too often permanent (though usually to a lesser degree). I'm not saying it is wrong for you, but hope you have examined other options and spoken to other specialists. The radiation treatments offered today, available even in Thailand, were not around 10 years ago. They can be every bit as effective and with the right clinic, almost always have a better side effect profile. There are other options still.
I hope you have found the very best surgeon you can. He or she should have years of experience. At least hundreds or better yet over a thousand surgeries using the method that will be employed during yours. There are no machines that remove human error or compensate for inexperience. I've read the same is true no matter what method of treatment you choose, get the best clinician and the best clinic available. Ask hard questions, do your research, do not stop with the direction you get from the first doctor you see. You can trust, but verify.
The advantage you have with prostate cancer is some time to
research, to make up your mind. It is generally slow growing and unless you have an aggressive case (Gleason 8 or better or very a high PSA) with stage two you can take months to figure out what is right for you. With the right scores/cancer volume you may not have to do anything -at least not for years.
I hope this isn't taken the wrong way, but I am in exactly the same spot and am facing the same choices with a worse percentage chance at a cure. You cannot undo the surgery, and none of the treatments are pretty or without risk.
Sorry if this is out of place especially from a member with a piss poor record of posting. Because of my circumstances I'm a bit passionate about it and hope that you and the others here who will encounter this do so with eyes wide open and go for the best choice available. God bless and good luck.