believe me, most of us feel your pain! PC is incredibly complex with multiple solutions, and no clear path to the promised land! Find the best people you can to help sort out the pros and cons. I agree there seems to be no treatment regimen in place for idc, which is shocking.

im going with RP as some retrospective studies show IDC may not be as receptive to hormones and RT. (no clinical studies). plus, i want the pathology that will help map the path forward. can also check lymph nodes and seminal vesicles. and it leaves radiation as an option if necessary.