For men (like me) who had a biopsy diagnosis of G 9 or 10 PCa, current opinion
is that treatment with EBRT, Brachytherapy, and 12 months (average) ADT (dubbed MAXRT
) provide similar survival outcomes to Surgery + Adjuvant treatment (RT and/or ADT afterwards), dubbed MAXRP
. However, the surgical route has an advantage: MAXRP is an upfront commitment to the combo therapy, whereas after surgery, approx. 25-30% of men have an outcome with no adverse features and an undetectable PSA, which means that there may be no need for radiation and/or ADT at all, or that this therapy may postponed until needed for a rising PSA.
My uro/surgeon was totally ethical, presenting equivalent survival stats for my status with RT vs RT. I was the one pushing for surgery. Why does everyone assume that celebrities and politicians all have a G6 diagnosis? By no means do I doubt there are some men who are pushed into surgery, but to think that all men are is absurd.