Do not hurry into a treatment plan. Investigate alternatives and then choose a treatment option you are comfortable with. It's great that your uro is open-minded. The concern everyone has with waiting is that during a period of waiting a curable cancer can progress to non-curable. Here is what one study says treatment delay:
"A delay of several months or even years from diagnosis to definitive therapy in men with low-risk PCa is very unlikely to have any unfavourable impact on morbidity or PCa mortality. This is not surprising considering the favourable natural history of low-risk PCa with long lead times. Most of the studies included in this review are in line with this hypothesis. On the other side of the disease spectrum, however, as also found in this review, the risk of missing the window of curability due to treatment delay is a realistic concern. In patients with high-risk or even intermediate-risk disease, a delay of 2.5–9 mo might unfavourably affect outcomes after radical treatment, although the data on this point were mixed. Due to the limitations of the studies included in this review, it is not possible to reach any conclusions on more specific risk subgroups such as men with intermediate- and high-risk disease." (Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3784981/)
In other words, if you are low risk, waiting is not bad. But if you are intermediate to high risk, delay can be bad. But they're not really sure.
they know he is G7 at least with two cores at 70% at least, he is intermediate risk at least. he doesn't have years to decide and I would say even months is foolish.
age - 64
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
"..You get braver as your options dwindle.." -- Fairwindhttps://instagram.com/edraderphotography/