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Surgery or Radiation?

Prostate Cancer | Last Active: May 30 3:05pm | Replies (43)

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@ava11

I just with Dr Percy Lee at city of Hope in Irvine. He recommended IMRT of 28 sessions and Brachy therapy and hormonal therapy to do it right first time and gave me a choice of skipping Brachy Therapy.
I will consult with Dr Kishan this Friday at UCLA. Still trying to get an appointment at California Proton Center.
One question, if I am going to have 28 treatments of IMRT, is it better in terms of reduced side effects, to have 28 IPRT treatment at Proton center?

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Replies to "I just with Dr Percy Lee at city of Hope in Irvine. He recommended IMRT of..."

@ava11 What treatment did you have? I hope your choice went well.
I just found this thread a month after I had my 5-fraction (5 x 8 Gy = 40 Gy) SBRT, and after I read the @brianjarvis post shown below: No statistically significant difference in outcomes between surgery and radiation -- as my doctors said.
I'm 68. My initial choice was RARP surgery, but my family was quite concerned about it. After doing more research/readings, and consultations with my PCP, medical oncologist, and radiation oncologist, I finally chose SBRT. (The urologist who did my biopsy does open surgery with another surgeon in a regional hospital. He referred me to the MO and RO in a cancer center where they do about a thousand prostate SBRTs annually, and more for other types of cancer.)
It's been a month and two days now since my last (5th) radiation treatment. Except for the loss of libido, I have not encountered the side effects that I have prepped my mind for, like hot flushes, fatigue, depression, etc. associated with ADT Orgovyx that my RO said we would see if I could stop after 8 months or a year.)