Re: Bringing parents to urological surgeon's visit if over 70. Zeke Emanuel MD said maybe 75 is the best time to check out of the hotel as everything seems to go south after 75. Having reached that age he has altered his view
if one is otherwise healthy. My father at 88 had an aortic valve replaced and a triple bypass. He lived until 95. But he had only 6 months to live at 88 without the surgery.

Prostate cancer treatments and prognoses are changing. Multiparametric MRI, PSMA PET/CT scans, urine (MPS 2.0) & pathologic slide genomic tests (Decipher, etc.) as well as AI pathology (Arterra) have affected all
on the non-metastatic disease spectrum. The longevity of one's parents is a factor in choosing a treatment. Now there is Pluvicto and spot RT for oligomets. Scientific studies, cognizant that they have not incorporated the latest information by several years to a decade, should inform the quality of life side effect analysis. The 'quick fix' idea of surgery does have marketing appeal, It appears that many on the non-metatstatic spectrum have non-inferior results with a radiotherapy hormonal approach.