Posted 1/29/2021 4:44 PM (GMT -6)
Juan, sorry about your dads diagnosis. Not very familiary with the system in Mexico, the recommendation sounds reasonable. With that said, has anyone brought up SBRT? Its a type of radiation that is given in only 5 doses, and has been used for over 10 years, with good outcomes for men with low risk and low intermediate risk (your dad, g7(3+4)) pathology.
Surgery could be an option, particualrly if an MRI was done that showed no evidence of escape from the prostate capsule. But the high PSA might be an indication ,as Mumbo said above, that its more advanced such as being out of the prostate already.
Obviously each treatment option has its own side effects with your dad expressing concern about incontinence (long term not that common with a good surgeon) and erectile disfunction (more common but not always an issue). Radiation has its own issues, most side effects come further down the road. Some men will experience bleeding 2 years more or less after treatment. Reduced ejactulate. I had surgery, with radiation afterwards, so others who had radiation as primary treatment can better address side effects and i am sure they will chime in soon.
Educate yourself and your dad on all the pros and concs of the different treatments, then make a decision based on knowledge. Dont take advice from a surgeon about radiation, and dont take advice from a radiation oncologist about surgery, they are both specialists in their fields, and mostly partial to their own methods.
Lastly, if you can, you should have your slides sent for a second opinion, preferably to a pathologist or lab that specializes in reading Prostate Slides. Its a very subjective process and many pathologists can be reading prostate slides one minute and breast cancer slides for example the next. Most guys here would recommend slides be sent to Dr Jonanthan Epstein, at Johns Hopkins in Baltimore Maryland, not sure if you can do that from Mexico. But if you can, it would be wise. A downgrade to Gleason 6, OR upgrade to G8, might inform the deision making process.
Last, it would be useful if you added a signature to your profile that would appear at the bottom of all of your posts, include the pathology, including not only Gleason score, but how many cores taken/how many cores positive. If you do this, go to your Profile, and edit signature. It will help others see at a glance what your dads situation is without having to go back to look for your original post to see his vital statisics.
Welcome to the forum, hope you stick around and keep us infomred of your dads progress, there is a lot of knowledge here, and you will get good support from the folks here as well.