Yes, you seem to be a perfect candidate for SBRT (as well as focal therapy, and brachytherapy). MD Anderson has that pencil beam proton which also seems to get good results, if your insurance covers it, but no better than SBRT. Some places will even take you for Active Surveillance, if they have an mpMRI and a great radiologist to monitor you.
It's a great idea to get a second opinion on your biopsy slides from Bostwick or Epstein.
Your PSA seems pretty high for that small amount of GS3+4. Is there any indication of prostatitis (perhaps a note about
chronic inflammation on your biopsy report) or an enlarged prostate (perhaps a note about
hyperplasia on your biopsy report)? How big is your prostate?
Who did you talk to in Houston about
SBRT/CyberKnife? St. Luke's? CyberKnife is one of several machines they use to perform SBRT. 4 or 5 short treatments and you're done. Effective and convenient.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 6 year results
treated 10/2010 at age 57 at UCLA
•PSA since treatment:
1/11:3.9 5/11:3.0 8/11:3.7 5/12:1.2 9/12:1.3 5/13:0.4
• SEs of treatment:
after 2 wks: mild urinary & rectal - last 1 wk
1 yr after: mild urinary - last 2 months