hi there, interested to hear from the intermediate favourable men who had SBRT for primary treatment who are within the same clinical range as me. How did it go, what about the side effects, did you also do or consider adjunct treatment, why did you choose SBRT over RP?
I am 59, T2c, G3+3, 3T-MRI no EPE, nothing visible yet in lymph or seminal, correlates to biopsy. 23cc gland. PSA 0.7. No prostate-related hereditary mutations detected from genetic testing. Decipher 0.4, low risk.
factors - perineural invasion, PSA <1.0.
Interested also to hear opinions on the following (sorry for so many questions):
Wonder if i am a suitable candidate for SBRT. Maybe because of PNI and PSA it is better to get RP to know for sure the aggressiveness and extent and PSA expression problem?
Is it best to radiate prostate bed now along with lymphs and seminals given complications?
What are the chances that some cancer is missed vs gold standard of RP? in this case, if i want to get aggressive now and SE be damned, is RP better for my situation?
What did you do for recurrence? Is maybe a better strategy to radiate the prostate bed, etc now instead of waiting given my complicating factors and material chance of up staging?
Thank you gentlemen for any experience and thoughts around this.
As always, 45rpm.