1 core out of 12
DRE no sign of tumor
Prostate volume 33ml
I was put on AS
I saw my urologist today and got my confirmatory biopsy results (took place on 13 Sept 2019):
Transperineal Koelis MRI fusion targeted biopsy 4 cores (2 positive)
Gleason 3+4=7 (Gleason 4 = 30%)
Location: Right apex
Size = 7mm
mpMRI shows signs of contact with capsule ie. possible EPE
Prostate volume 21ml
As can be seen above there were discrepancies between the biopsies regarding prostate volume (33ml vs 21ml) but they were minimised as measurement variance.
The medical advice from the multidisciplinary team and from my urologist is robotic RP ASAP. He is really pushing this option saying that I should ideally have it done before the end of the month.
I am very reluctant to go down this route and would have been more interested in trying SBRT but I don’t think thats available where I am here in France.
Realistically I suppose I’m asking you all based on your combined extensive knowledge and experience, what options do I have and is it reasonable of me to insist on accessing SBRT or other firm of radiation treatment in the hope of more favourable QOL outcomes?
I am 42 years of age.