The best way to compare
treatments is with large numbers of patients, treated with similar stages of cancer (based
on stage, Gleason and PSA) and then look at long term cure rates (based on the PSA
remaining very low, called biochemical control.) By and large using modern techniques
the long term results appear the same using surgery (radical prostatectomy) or external
beam radiation (as long as the dose is high enough) or seeds (either seeds alone or seeds
plus external.) For this reason the NCCN advises that the patient be given the choice to
choose among these options (go here.)
Some comparison studies are noted: page 1, page
2, page 3, page 4,
page 5 |