When I was given my full diagnosis by the surgeon representing the MDT, he said he would operate if I really wanted him to but doubted very much that with my scan and T3A staging he could remove all the cancer. He suggested I would do better by having RT and indeed personally escorted me to an oncologist in a nearby office. I knew nothing about PCa and took the advice of the MDT as I think most would in the circumstances. It is true that in hindsight, had I opted for Prostatectomy and RT I would not have had to have had HIFU as salvage therapy for RT that had not worked long term and even after this some three years down the line be faced with the same situation again with some regrown cancer in the Prostate. This has to be set against potential risks and side effects of Prostatectomy that avoided. So hypothetically, looking back, on balance I might have done better to have gone with the Prostatectomy but had some of the side effects I have avoided so far. However, a man I know had a very similar diagnosis to me and he needed RT because his Prostatectomy was insufficient of itself. He had quite a hard time with his op and subsequent side effects and although he is doing well PCa wise 10+ years on, wishes he had had only the RT and avoided surgery and what that entailed despite his apparent end to his PCa. Where it has not worked and a man looks back regardles of the type of treatment, it is even more likely that he will think he might have done better with alternative treatment. But we are where we are and 'what ifs' serve no purpose.
I have no pain I can definitely attribute to PCa. The only possible thing is that when I wake in the morning I feel more uncomfortable than hitherto until I manage to pass wind. Whether this is due to pressure on my Prostate I do not know and have not mentioned it to my GP.
I don't think a financial saving on treatment cost is a major if maybe even minor consideration. The cost of an operation or whatever may largely (if successful), be counterbalanced by saving on HT, Chemo and other down the line treatments, oncologists and others time etc.
You are right that I have sought out and had been lucky so far in having had a lot of high tech treatment, most of which has been classed as 'experimental'. (I have been in 3 trials which have greatly reduced the financial cost to me). Unfortunately, there are no guarantees with anything at this point in time and the best we can do to improve outcomes is to have treatment in good time.