I would say that you father's situation is far from hopeless. There are lots of treatment options. I wouldn't presume to tell you what to do. Your doctors have several advantages to us forum participants: they have medical degrees, presumably they are experts in their respective fields, they actually know something about
your father's actual condition, etc.
All we know is that your father has a large prostate, a very high PSA, Gleason 8 and that the cancer appears to be organ confined. From this information we can draw some general inferences about
your father's disease, but prostate cancer is such a weird disease and generalities aren't helpful to you.
The medical community knows a whole lot about
prostate cancer, but has not figured out a way to determine what treatment is best in any given case.
This one says that RT is better for high risk:
This one says that surgery gets better results, but RT may still be a viable option:
If it's a really hard decision, then it means that neither choice is markedly better than the other, so either choice would be reasonable.
I would find somebody more experienced than the urologist who's been a doctor for 2 years. Consult with a surgeon who has performed hundreds (preferably over 500) RPs and who performs robotic surgery whenever possible. Same for your RO. Ask them what their cure rates are, with high risk patients. If the tumor is confined, I think a cure is possible.
Post Edited (nyc lawyer) : 10/8/2017 7:07:55 PM (GMT-6)