I was diagnosed 3 weeks past with localised PC and a Gleeson score of 7. On reading through the 'Toolkit (and being a big fearty) I decided to opt for Active Surveillance.
However, my consultant advised me that, due to the location of the cancerous cells, monitoring was not an option. Apparently, in 95% of cases the cancer cells are located at the side and back of the prostate but in to my case they're at the front of the prostate and this makes it very difficult to monitor them. The options, according to the consultant were surgery or radiotherapy.
Given that, if radiography failed, surgery would no longer be an option I was inclining towards robotic or keyhole surgery.
Wrong choice again!
Due to the fact that I had a template biopsy to diagnose the cancer then keyhole surgery, whether robotic or manual, is not a recommended option according to the consultant. The recommended options are therefore open surgery or radiotherapy.
The thought of open surgery, with longer recovery times, does worry me. Is it so much more severe than keyhole? I'm now inclining more to radiotherapy. A friend suggested Cryotherapy, although it doesn't seem to be readily available.
I would really appreciate anyone's advice or experience of these treatments.
Thanks
Paul