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Re: Turp followed by radiation therapy, especially proton?
William, please read Terry's posts very carefully. His prognosis was far worse than yours, or mine was, and he watched and waited for many years.
I had TURP at age 60 during which a biopsy was done and small (insignificant?) cancer was found in approximately similar amounts to yours. I later had robotic prostatectomy which was not completely successful because of the prior TURP.
The TURP itself was expertly done and actually improved my sex life because it removed all inflamation caused by obstruction and the surgeon preserved ejaculation. But however good the TURP was it fouled up later surgery.
If, I stress IF, you do decide on treatment, you should seek a second opinion other than from a radiologist, since it MIGHT be better in that case to have the prostate removed, rather than first have it bored out and then have it hit with other treatment.
But my opinion is that if I were you I would explore every medical way of improving my flow rate without any intervention to treat the cancer yet (which might not even be cancer!) and without having a TURP yet. I would actively watch things by having DRE and sophisticated MRI and Ultra Sound scans and watching the PSA movement and trajectory.
I am a guy who has had a TURP and a prostatectomy, yet still has enough prostate left to produce 0.42 PSA. So after all that - I am actually still doing watchful waiting! My new uro, who is a leading HIFU expert in the UK, says he thinks this is what I could have been doing all along.
