Hi jpc,
I was diagnosed with PC last year. Type 2, Stage 1. My urologist said at my age(63) and being in good health, I had many options (radical prostatecomy, brachetherapy, radiation, etc). I was very concerned about the various side effects mainly impotence and/or incontenance.
My wife's cousin had the radical surgery a few years ago and he had no problems. He chose the surgery because he
wanted it out right away. He ended up going to Johns Hopkins
about an 1-1/2 hr from his home. He said it was one of the
leading PC surgery centers in the East.
My daughter's father-in-law had brachetherapy a couple of years ago and he is fine. He said he wanted something that
was less evasive and still had a high success rate and
minimal side effects.
I never considered radiation because I did not want multiple
trips to the clinic for treatment.
It turns out that there was an excellent radiation oncologist in my area (supposedly one of the best on the East Coast).
I scheduled a consult with him and really liked him. He
specialized in brachetherapy so I decided to go that way.
Because I had a large prostate, I had to get Lupron shots to
shrink it. It took two injections to get it small enough to allow
for swelling afted the procedure. It ended up being about 1 year from diagnosis to treatment.
The procedure was simple and painless. It has only been a
month since the seed implants. So far no problems and I am relieved at that. I still am having some residual effects from
the Lupron (mainly hot fashes, low libido). My urologist said
it may take another month or so for the Lupron to wear off.
So, ask around like you are doing. Do you own research
and find the best doctor you can to do the procedure.
Cancer is a scary thing to talk about. But the advancements
in PC treatment in recent years has been incredible. Thankfully you got an early diagnosis so you should do fine.
Good luck with whatever treatment you decide.