I was told by my Radiation Oncologist that SBRT was preferable over BT for me because of the urinary flow and urgency issues that I presently have had for the last 10 years. I take alfusozin for some minimal control. Is this considered true?
Although I am only a G3+3 with a single core presence, I sport a PSA of 13 and am on active surveillance at least until my next biopsy and mpMRI. I'm 75.
BT is very irritating to the urethra.
I suggest you check this nomogram as to the benefit of treatment for someone with your diagnosis....
Apparently in Britain the newly-diagnosed men are shown these predictive results upon diagnosis. Conservative management is far from a disaster for even higher risk men, but cancer is a scary word. Conservative management does't mean that men who chose that route never had any PCa treatment..it does mean that they declned to have immediate post-diagnosis treatment...some later chose to have treatment before metastasis detection, while some had some type of treatment post metastasis detection, and some declined any treatments at any time. Why not have immediate treatment? Concern about side effects of course.
May I suggest you go to this site below, as there is far better information from many patients who are available to answer your questions. support.zerocancer.org/site...
Some men that have poor pee performance get Greenlight laser before brachy. This vaporizes and cauterizes as it opens up the channel.
I think men with poor urinary performance should be alerted to this many years earlier, that some radiation treatments will be denied you unless you pee well.
But brachy seems to have a very high cure rate.
Artificial Urinary Sphincter ~ Post-op
DID ANYONE HAVE SIDE EFFECTS WITH SBRT? (ED -URINARY - RECTAL PROBLEMS?)
Urinary incontinence post surgery
Artificial Urinary Sphincter vs. Urinary Sling for Incontinence? 
