* Risk is primarily side effects.
* Benefit is cancer control or response.
Now that you have your Risk Category/Group from Step 3 (from your PSA, Gleason Score, and Clinical Stage), you can use it to find your probability of success with different treatments by using the tools/links listed below. Remember that these tools are meant to give you excellent probabilities, but none are perfect. Look at several results together.
- Treatment Comparison Chart (compares PSA responses from 10 different treatment approaches)
- Compare Survival Rates with Active Surveillance VS Treatment (gives survival estimates only)
- Partin Tables (probability of cancer contained to prostate – at surgery, Johns Hopkins)
- Compare Side Effects with these articles and videos, and by asking nurses, patients, etc.
For further discussion – Dr Charles Snuffy Myers is a prostate cancer survivor, and a prostate cancer specialist….Read more here
- Video – Active Surveillance Vs Radiation Charles ‘Snuffy’ Myers MD, 2013
- Video – Surgery Vs Radiation for PCa Charles ‘Snuffy’ Myers MD, 2012
- Video – Active Surveillance Vs Watchful Waiting Charles ‘Snuffy’ Myers MD, 2011
- Video – Does Age Factor into Treatment Options? Larry Bans MD, CTCA
- Prostate size (from ultrasound report)
- IPSS [urinary] Symptom Score
- Overall health
- Personal priorities regarding potential side effects, length of treatment or recovery, and insurance/finances.
- Willing to travel for an expert?
Radiation (of any type) will probably make any existing urinary symptoms worse.
These symptoms often continue to get worse even after radiation treatment is over. They can appear months later, even years later. This is temporary, but can last for months. Make sure you ASK about your prostate size, IPSS Symptom Score, and ways to help prevent acute urinary symptoms after radiation. An IPSS Symptom Score below 17 is considered by some experts to be favorable for radiation with seeds. Ref