Just diagnosed a month ago. I am 54 years old, psa 4.1 Gleason score 3+4. I am in the higher end of intermediate risk. My PSA has gone up and down for a couple of years. 12 samples were taken for the biopsy, 7 of 12 positive T2b. urologist recommended Radical retropubic prostatectomy and mentioned radiotherapy. I have searched the net and found some good information and some contradictory. I talked to a radio oncologist and I am looking at brachytherepy followed by external radiation. Anyone have this therapy combination, results?