About a week ago, I went to NIH to have a MRI-directed targeted biopsy of my prostate. It was done by one of NIH's top urologists Dr. Peter Pinto. (I'm enrolled in a protocol for prostate cancer at NIH with Dr. Pinto.)
A urologist working with Dr. Peter Pinto called me yesterday with the results. As I suspected would be the case (because of two MRIs I had some months ago which detected cancerous lesions), I have multiple areas where I have cancer. 6 of the 16 biopsy cores were positive for cancer.
Several places have a Gleason score of 7 (3 +4) plus a worrying "cribriforming" (which apparently is predictive of poor outcomes).
The doctor thinks they've caught the cancer before it has metastasized beyond the gland.
The doctor said that "watchful waiting" is no longer an option. I need to have surgery or radiation. If I did nothing, the doctor told me I would likely have a 10 year life expectancy.
My father died of prostate cancer. I have an enlarged prostate (79 cc), and my PSA has been steadily rising for decades (my most recent PSA is 7.38). I'm 73 and in very good shape physically and healthwise.
I'm reaching out to get advice. What should I do? Radiation or surgery? I am really unsure as to what path to take.
My goal is longevity and I'm willing to sacrifice quality of life. Without PCa, I'd be likely to live to over 100.
What about new treatments like TULSA PRO? Would that be better than either radiation or surgery?
Thanks for any guidance anyone can give me.