firstly, I have posted this same message on the Macmilan site - so apologies if you have read it alreadu
I was diagnosed with prostate cancer 2 x months ago. I suppose I am 'intermediate' with a Gleeson score of 7 (3/4)
My PSA was 10 ... 6 x months ago, now 13.4. My MRI scan showed the cancer to be encapsulated in the prostate.
Based on this information, it is now for me to decide which treatment to take - surgery - it would be the robotic method, or radiation - probably external beam radiotherapy.
But how to decide which treatment to take? Both, as I understand, are equally effective in removing the cancer, and preventing a return. There are some differences in the side effects- temporary and permanent, but they must vary considerably from person to person.
I was expecting a treatment to be recommended by the specialist/ consultant, based on my specific condition, but it appears that with 2 x comparable treatments available to me, the decision is mine.
I have met or spoken with 2 x ex 'surgery' patients, and 1 x ex 'EBR' patient, and they have all been happy with their respective treatments. All were recommended a certain path though, for different reasons.
Can anybody give some advice on how to make this decision?
Possible factors are:
Other medical conditions prevent surgery being an option
Age - It seems that older men tend to opt for RT over surgery. I am 67 so not sure how I fit in there.
Personal circumstances. I am married. Work full time. Have my teenage son living with us. I lead a pretty active life.
Any guidance would be appreciated