Posted 8/27/2021 9:58 AM (GMT -7)
Thanks for all the responses. I have another issue I have come across that have casted doubt on the suitability of radiation (specifically SBRT) for me. A couple of ROs I have talked to a couple of weeks ago, tell me that because of my 'Moderate' existing urinary symptoms (IPSS score 15)', I have to be careful about LT radiation effect, especially SBRT. If anything, they recommend IMRT 28 sessions. I have a weak flow and urgency which I hope to be addressed as part of a treatment, if possible. The ROs say I should not rule out surgery as it may better relieve my moderate urinary symptoms, that is if prostate related. Surgery may have the added benefit of the surgeon fixing any bladder neck or urethra obstruction that could be the result of the weak urinary flow. Their argument is my best LT (2+ years out) outcome as far as urinary symptom relief would be a bit better that a return to baseline before the treatment with worsened short term symptoms. I may even have a 10%-20% chance of 'permanent' worsening of symptom. I am not taking any alpha blockers but I think most radiation patients start on those as well and it could be effective.
So, in short I am still undecided and think may be surgery will work better in terms of simultaneous LUTS relief as well.