Prostate Cancer Survivors






Return to Website

This forum is for the discussion of anything to do with Prostate Cancer.
There are only four rules:

  • No fundraisers, no commercials (although it is OK to recommend choices of treatment or medical people based on your personal research; invitations to participate in third-party surveys are also acceptable, provided there is no compensation to YANA);
  • No harvesting e-mail addresses for Spam;
  • No insults or flaming - be polite and respectful at all times and understand that there may be a variety of points of view, all of which may have some validity;
  • Opinions are OK, but please provide as much factual evidence as possible for any assertions that you are making

Failure to abide by these simple rules will result in the immediate and permanent suspension of your posting privileges.

Since this is an International Forum, please specify your location in your post.

General Forum
Start a New Topic 
View Entire Thread
Re: da Vinci Surgery vs High dose brachytherapy

Aloha Tom Koleski,
If you are asking for a vote - between surgery vs radiation - with what you have shared - I vote the wait and watch routine. I would like more information from you - PSA every month, Free PSA, more clarity on what the "3 areas found on biopsy" means (like 6 or 12 cores. Also, need to send your samples to a second pathologist.
You have plenty of time, months to make this decision. As you know, selecting treatment and getting treatment are a huge non-reversible step which will affect you for the rest of your life.
Sorry you had to learn about PCa by getting it.
Joe - Hamakua Coast - Love it - PCa treatment sucks

Re: da Vinci Surgery vs High dose brachytherapy


When you read newspaper reports about prostate cancer being over-diagnosed and overtreated they are talking about men with a diagnosis like yours. It seems unlikely, from what you haved posted that the variant of the disease which you have been diagnosed with will become life-threatening in your lifetime.

You certainly have time to consider all your options. There are many studies now that show that a delay of months, or even years, in making the final life changing decision does not affect the outcome to any substantial degree.

You might find it useful to read this study: Active Surveillance For Favorable Risk Prostate Cancer:What Are The Results, and How Safe Is It?

If you feel that you cannot consider Active Surveillance because of the pressures on you to 'do something' then there are really only two aspects to consider:

1. Ensure that your diagnosis is correct by having your biopsy results reviewed by a RECOGNISED EXPERT PATHOLOGIST
2. Find the most experienced practitioner of the therapy that makes most sense to you. All therapies, carried out by people with equal experience and track records are likely to have similar outomes.

There are more detailed suggestions on what information may be useful in coming to your decision and how to collect it at CHOOSING A TREATMENT

Good luck

Terry in Australia

Re: da Vinci Surgery vs High dose brachytherapy

A time tested cliche: "window of opportunity."