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@petep

What I meant by "nuclear option" in my original post is RP. Not too keen on radiation and hormone treatments. I'll see how I feel after meeting with the radiation oncologist. My main concern is whether either prostatectomy or radiation is warranted based upon my MRI and Biopsy results. Would either be over treatment? I am vacillating between thinking we could actively survey this or just moving forward and getting it out. Prostate cancer is a tricky business.

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Replies to "What I meant by "nuclear option" in my original post is RP. Not too keen on..."

You should realize that the urologist is a surgeon, So operating is what he would normally do.

Good to hear your speaking with a radiation oncologist.

Do you have a very minor case that some people might say is a possibility of active surveillance if it weren’t for the PI-Rads 5, need to get more advice, and Find out what the Pet scan shows.

You don’t mention a Decipher score result. At this point, it would probably make sense to get one, It can let you know if your cancer is aggressive, more information than the Gleason score.
If it’s real low after radiation, you might not need ADT. I was on ADT for eight years the benefits outweigh the drawbacks, you can stay alive longer.