Radiation would be a good choice, especially since Mayo RO felt it would be a good option. Ask the oncologist if they could combined SBRT with IMRT which could cut down the number of IMRT session you would get. It is a pretty common technique these days. The SBRT is done to the prostate and then the IMRT to all the tissue around it.

This usually protects your ability to get an erection in the future.

Have you had genetic testing? it would be good to know if you have a genetic anomaly before you have either treatment. Has Mayo recommended that? I would suspect they did. If not, you can get a free genetic test at the following website..

Www. prostatecancerpromise.org

Just make sure you don’t select that you want your doctor involved or they won’t send you the spit tube until talking to them. They will have a genetic counselor talk to you about the results. Takes three weeks usually.

Have they mentioned putting you on ADT before radiation or surgery? That can prevent your cancer from spreading and growing while you’re waiting to make a decision.