It is true that removing a prostate after radiation is difficult. But there are other options as more radiation. Also, you would probably need to reduce the prostate size before radiation with some kind of previous treatment. Surgery also offers a more precise follow-up, allowing for a faster response if you are not cured, which is perhaps its greater advantage. However, it is more traumatic and you may have worse secondary effects. It is a difficult choice and you will read here many opinions. But, first of all, if your MRI and genetic tests give good results, you may seriously consider the AS option. I think your uro is advising you well, though uros are always biased about
radiation and maybe you should also talk with a RO to have a more balanced idea of what to do if you finally need treatment.
67 years old.
PSA: 2008:2.8; 2012-2016: 4.5-5.5. 2013: two biopsies (ASAP, neg) and a neg mpMRI.
Feb, May, July 2017: 5.5, 6.1, 7.6; free: 25%-20%
mpMRI, July 2017: PIRAD5 5.
Dx August 2017,Gleason 3+3, 2 cores, left 5%, right 3%.
Prostate more than 100 g. DRE +.
Manual LRP, november 6, 2017.
Bilat., 30% and 5%. G 5+3. Clean margins, not other features.
psa 2018: 1-31:0.08; 4-16: 0.05; 7-16: 0.03
Post Edited (jmadrid) : 7/18/2018 12:46:10 AM (GMT-6)