We visited an Oncologist yesterday. You know I had a page full of questions. He was exceptional. He is also a fellow Rotarian. So, my questions were as follows:
1. What are my options; his answer, there are no real comparitive studies, both radiation and surgery are good. Radiation and Surgery are both better today than 5 years ago. Seeds are OK, but not good for enlarged prostate and might as well have surgery, same amount of time.
2. What is my risk and stage, he said I have a low to middle risk score.
3. What option has the highest non recurrance; Probably surgery, but varies by patient.
4. Can you do radiation after open surgery; Yes, but he does not recommend open surgery, he thinks robotic is just as good in the right surgeons hands
5. Can you do surgery after radiation; Yes , but difficult do to scar tissue
6. Can you do radiation after robot surgery; Yes
7. I am a chess player, what are the next 3 moves if the first one is not 100%; Surgery, radiation, hormone, chemo, and maybe a vacine
8. Other options; Sweden does a lot of watchful waiting, but they are gradually changing because men are living longer
9. Others; Radiation could be very effective with new IGRT radiation. Radiation does have more side effects in 15 to 20 years.
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