"HDR + SBRT + ADT. That's my vote."
i'd second triple play in your case too and add that surgery would be my last choice because there's a chance with your numbers of triple play via salvage treatment anyway, and that way would not be as effective plus you'll have a much better shot at permanent SEs -- i.e. incontinence and ED.
your doctor sounds like prostate snatcher to me. he means well and he's doing what he was trained to do but i just don't agree with the piecemeal approach to treatment.
anyhow take a look at my signature so you know that i speak from experience, and i have the results you are hoping for.
age - 63
12/09 - PSA 6.8
G7 - 3+4 - all 12 cores pos
HT, BT, IGRT
6/18 - 8-year post treatment PSA .1!
PSAs .2, .3, .2, .3, .2, .1, .2, .2, .1, .1, .1, .1, .1/instagram.com/edraderphotography/
Post Edited (F8) : 11/22/2018 12:13:26 PM (GMT-7)