initial treatment question

[FredNick]

I am posting for my husband. He is newly diagnosed and we have spoken to the urologist/surgeon only. We were told surgery or radiation were the options. The surgeon said he would remove the prostate, seminal vesicles and 2 lymph nodes. (Said these would be teated for cancer because although the scans were fine it is the only way to be sure). Gave us the option to talk to the radiation oncologist. We wanted to find out more so asked to speak with the RO and that appt is this coming week. Any advice/insight or suggestions on what to ask or even where for us to learn more would be great.

[Justfor_]

Typical American. In Europe the surgeon would take out more than 10 lymph nodes depending on staging. I was Gleason 8 and they dissected 20 of them. In the US it is less than half, yours is on the low side even for local norms.

[Tony666]

can you let people know your specifics (eg psa, Gleason score, % of cores, health status, age etc)

[FredNick in reply to Tony666]

To date had PSA 15, biopsy with five 3+3=6 and three 3+4=7 Gleason scores, CAT scan showed the prostate was enlarged and bone scan clear. Diagnosed in June. 58 years old

[FredNick in reply to FredNick]

Oh and general health status very active, exercises regularly including running and weigth lifting. Working full time. No health issues except has had kidney stones and a few polyps removed during colonoscopy.

[Tall_Allen]

It is called "unfavorable intermediate risk" PCa. Radiation has a better chance of curing it vs surgery. Here are typical cure rates:

prostatecancer.news/2018/10...