Prostate Cancer W/ Chrones & Fistulas

I have just been diagnosed, at the age of 55, with Prostate Cancer with an elevated PSA 4.2 and a Bioposy revealing a Gleason score of 6 and a Stage of P1c.

All indications show an early diagnosis. I am told that both Raidiation and Surgery are both very good options.

Because I have had Chrones since 1983. I have been told that Exrernal Radiation is not an option and that Seed Implants would be best for this direction.

I have been leaning towards Robotic Surgery.

My last interview with a Robotic Surgeon revealed that he is showing concerns about possible issues that the prostrat may be "Cemented" to the rectum with scar tissue from the Chrones and Fistula and that this surgery my be risky due to possible damage to the rectum.

I am curious if any one else has had this problem. 

With surgery there is a risk of damage to the rectal wall. This is usually repaired and is not a major problem. Chrones disease does raise the potential for an increased risk, which makes it more important to consult a top surgeon.  Choice of surgeon is always a more important consideration  than the method of surgery used.

Personally I'd be circumspect about seeds in the circumstances, but again you could get more details from a top specialist.

Proton is well targeted, but it might not completely eliminate potential for rectal damage. It could be worthwhile consulting Loma Linda for their view on your case, or asking Bob at the protonbob website.

Depending on your full diagnosis, there's a lot of information available on watchful waiting criteria in the meantime.

Link to an article on side effects of seed treatment. One aspect to think of when looking quality of life and studies over some years is that all treatments have improved greatly over recent years.