Woke up to a PSA result of 23 in Sept 2018, and life changed. Did successive freePSA and 4K tests (2.7%, 77%). First Uro found negative DRE, suggested random biopsy. I elected to see Dr Bahn who did CDUS targeted biopsy yielding a biopsy result of G7(3+4) Stage 3b tumor with left SV involved. Will do a PSMA PET scan soon.
Bahn recommended Brachy + EBRT + ADT.
Also considering SBRT + EBRT + ADT.
Anything else I should consider other than praying? I’ve wondered if RP is an option with left SV involvement.
Thx- 64yo, good health, active, no family history.