I have read quite a few posting, their's was a failed treatment; and most likely the reason why we're here on this forum. And it seemed it didn't matter what type of treatment one had. This may be an important observation to those who are considering their first treatment. The difficulty in coming up with the most effective treatment for one's cancer is knowing whether it's local or not. Current scan technology is unable to scan for micro metastatic cancer. And we don't know if and when those loose cancer cells will show up to become our Ca issue. Once it's systemic, it really doesn't matter what treatment one had; we're all in the same boat.
Additionally, there is that raging debate whether local treatment helps at all for systemic PCa. Any local treatment will always have some kind of side effect. It's hard to weigh benefit to side effect.
In my view, we are totally dependent on having the medical provider who can come up with the best combo treatment you will best respond to. All doctors are not equal. And sharing your specific situation and outcome helps everyone else to what questions we need to raise to our own doctors. We think our direct participation to our treatment process is helpful to our doctors. Thank you for sharing.