(No Subject)

Surgery or radiation are the main options. And they don't guarantee a cure but will certainly greatly extend your life in the worst case.
I think you should forget about Germany.
MD Anderson, UCLA, Johns Hopkins and other major centers should be good and should be covered by insurance.
How old are you and what size is your prostate?
Consider the large mainstream centers. Good luck.

Hi Islander-

You encountered what we've all had to deal with - there is no single right answer and it's up to the patient to make up his mind. Johns Hopkins is justifiably known for surgery and certainly has a bias towards it. That doesn't mean surgery isn't a good option - it probably is - but it's one of many. The make-or-break deciding factor about surgery, imho, is whether the cancer has penetrated the capsule (Stage T3). If it has, I think surgery is a terrible idea.

We share the same urologist - Leonard Marks. I think he's excellent, if a bit brusque. He probably steered you to SBRT (with Dr. King) or HDR Brachy (with Dr. Demanes) - two of the tops in those specialties. I strongly recommend you talk to them if you can be treated in LA. Both of those have been very successfully used as monotherapies. For seeds, I think most specialists would recommend external beam with it because of your "unfavorable intermediate risk."There are many excellent surgeons at the top tertiary care facilities in the LA area - Cedars, USC, UCLA, UC Irvine & City of Hope.

There are great davinci prostate surgeons all over the US. You'll find darned good ones in LA, Houston, Denver. One of the premier prostate surgeons is in Nashville, TN at Vanderbilt (Dr. Smith). I've had great results from getting treated in St. Louis. I understand that you're willing to go just about anywhere. You'll find your answers.