I go for ldr brachytherapy on 3/25 in Arizona (4+3, PSA 8.81 and contained to prostate based on MRI and PSMA PET). Read a lot and decided on it. Research shows it being just as effective as Ebrt, surgery and other combination therapies with potentially less side effects. I suggest getting 2nd and even 3rd opinions on your biopsy slides. The pathology evaluations seem to be quite subjective based on the 3 I had. One was done at my local center, one at Mayo and one at Johns Hopkins. The Johns Hopkins report seemed much more detailed and it is where Dr. Schultz’s group (PCRI) recommends getting a biopsy read. I also recommend getting AlteraAI, Decipher and Prostox tests as well. These can all help personalize your treatment plan. None of these were ever even suggested by doctors at the 2 surgery and 2 radiology consultations I had 😡. 2 of these were Mayo doctors. That was the extremely irritating part of my decision making process. Conclusion: Be your own advocate. If your cancer is contained to the prostate, you could possibly even avoid adjunct beam radiation and hormone therapy based on the above tests. Unfortunately, with so many of us out there I think many doctors tend to recommend very aggressive standard treatment protocols and move on to the next patient. Sad, but in my opinion true. Some of the medical “industry’s”avoidance of ldr brachytherapy is purely economics. Brachytherapy doesn’t pay as well. All these medical centers have expensive robotic surgery and radiation equipment to pay off. As a result there are few doctors with skill sets necessary to do brachytherapy effectively. Western Radiation Oncology out of California are the best around as far as I’m aware. They do the procedure out of several California locations and the Phoenix one I’m scheduled at. Here’s a link to a pretty in depth video from them. https://www.youtube.com/watch?v=GZTK6IcGI-w

All the best no matter what option you choose.