Saw this on PracticeUpdate web site.
There's been a lot of debate about RP vs RT (and still ongoing). Not trying to add fuel to the fire, but something to be aware and discuss with your MO/Urologist/Radiologist:
"TAKE-HOME MESSAGE
Patients undergoing radiation therapy for prostate cancer are at risk for a secondary malignancy. In this evaluation of SEER data from 1988 to 2015, the authors compared secondary cancer incidences of 318,058 men who underwent either brachytherapy or prostatectomy. After propensity-score matching, the 20-year incidence of bladder cancer was 6.0% for men undergoing brachytherapy and 2.4% for men undergoing prostatectomy. Likewise, the incidence of rectal cancer was 1.5% for men undergoing brachytherapy and 0.5% for men undergoing prostatectomy.
Urologists should be aware of increased, but overall low, secondary cancer risks when counseling men regarding prostate cancer therapy."