"When you were first diagnosed, where did they find the cancer? Had It spread outside the prostate at all? Your Gleason score isn’t too bad But the decipher score says do something soon or it could come back. Five weeks of IMRT would seem to imply they are worried about spread outside the prostate. Did they mention intraductal or cribriform was found in your biopsy results?

I didn’t have IMRT until 3 1/2 years after my prostatectomy, Because my PSA started rising, and that was most likely caused by something growing outside the prostate area.

Holding off treatment could reduce your overall survival. You could probably live many years, even without the treatment right away, But, how many years depends on getting treatment early.

Your Side effects sound really hard to deal with. I would suggest you ask for a palliative care physician to help you with reducing the side effects so that you can continue back on the IMRT."

My cancer was discovered via yearly PSA tests. A PSMA/PET scan shows no cancer outside of the prostate. The path report has no mention of intraductal or cribifom cells.