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Go with local prostectomy surgeon or pursue big center 2.5 hours away
Prostate Cancer | Last Active: Feb 13 12:44pm | Replies (74)Comment receiving replies
Mark Scholz of PCRI has a video up where he discusses radiation vrs surgery.
search on: "A Medical Oncologist Compares Surgery and Radiation for Prostate Cancer | Mark Scholz, MD | PCRI" He favors radiation, saying he hardly ever prescribes surgery any more.
Dr. Geo posted part of his interview with Michael Zelefsky on this topic. Search on: "Surgery vs. Radiation: What’s the Truth? with Dr Michael Zelefsky | Dr. Geo Insights".
Zelefsky has been a top flight very influential researcher and clinician for decades. He sums up his discussion saying all the treatments are so much better than only a few years ago that if you find someone and a treatment you believe in, do it. You won't be that far wrong, if you are. I noticed that Zelefsky is based in NYC, where, he says, the surgeons are outstanding, and the radiation treatments are state of the art.
He himself is using an MRI-Linac, said by some to be the latest and greatest external beam that exists, combining it with HDR brachytherapy when he's treating high risk patients.
Replies to "Mark Scholz of PCRI has a video up where he discusses radiation vrs surgery. search on:..."
@climateguy ,
I have watched and liked both of those videos. PCRI and Dr. Geo have been a great resource. It was PCRI, Dr. Scholz who tipped me off to the Prostox test for late stage genitourinary complications from radiation treatments. I got the test and it steered me away from radiation as I scored high risk for both SBRT and CFRT.
I would highly recommend getting that test.
Good luck
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@climateguy
This is very helpful. I did do a consult with the local radiation oncologist, who was very well trained and looked to be using the standard of care for IMRT. But, I'm going to see if other options are viable for me.
Side note: I am leading to surgery because I'm 63 and in good health otherwise. If there is recurrence, than I can follow up with radiation rather than having to move straight to hormone therapy....so more recurrence treatment options is my thinking. I'm a 3+4 and looks to be contained to prostate situation.