Double:
Sorry you have to be here. I was dx. with a G7 about 4 1/2 years ago, but reading posts like yours reminds me that THE PHONE CALL is so memorable. I remember exactly what I was doing, where I was, etc.
Anyway, I saw a surgery expert, a radiation expert, and a med. oncologist. I chose surgery for a variety of reasons. I list them with some trepidation, as sometimes we get into battles extolling one treatment choice vs. another. Let me give you just a few of the reasons and I'm sure others will chime in with rationale for other choices:
1) Psychologically, I was of the "get it out" mentality. That is not the strongest reason, but...maybe it is.
2) The pathology after surgery will tell you EXACTLY where things stand. 30% of results change. So, you could be a G6 before surgery and a G7 afterwards.
3) If surgery fails, you can do salvage radiation and that is a second potential curative bullet. The reverse is not true. Some have argued strenuously that this is specious reasoning (because if the radiation works as a backup it would have worked as a primary treatment). I disagree because we can only deal with what we know now, at decision-time.
4) The SE of surgery can be difficult, such as ED and incontinence. But they generally improve rapidly over time, whereas radiation SE can occur years later. In my case, I had significant incontinence that quickly improved and was 100% improved in about 2-3 weeks. I do have ED.
5) I felt more confident in judging the surgical experts. They had data. The radiation folks really don't. This is a pet peeve. I had salvage radiation, and I was told in no uncertain terms that is I had complications, I was to not go back to him but see the appropriate expert. As an aside, if you go the surgery route, try and find the best surgeon. EXPERIENCE MATTERS. In fact, when/if you make that decision, the group is an excellent source of referrals.
6) I have had a history of bowel problems. Radiation was more likely to cause issues in that area.
I know I had more reasons for choosing surgery, but I can't remember them.
Please understand that I am just giving you my reasons for making my choices. As it turned out, I failed surgery and the radiation, but I have responded very well to hormone therapy. My PC is not curative, but we are trying to keep it just as a chronic condition. Nevertheless, I look back and have no regrets on my decisions.
Mel