What makes me think you should look at one more option Is that your Gleeson 3+4 only 5% . I know where you can get some advice on this. You are so close to going on act surveillance it would be worth talking to somebody who has similar number of cores but has been able to live a normal life without doing anything?

If you go to Ancan.org You can sign up for their Active surveillance group. They have a meeting on the seventh at 8 PM Eastern time. You may have to install some new software, but it’s easy to use. The guy running the meeting has a high number of cores so you can discuss it with him. That will be other people that are in Similar situations. They can give you ideas on what would be the best treatment as well.

Here is a video with Dr. Laurence Klotz, one of the experts on active surveillance. He can give you answers as to why you would or would not be a good candidate for active surveillance.

If you do just have radiation with CyberKnife using the SpaceOAR, it Can save your rectum from damage the other issues occur with the bladder. The SBRT frequently causes urinary issues after the radiation, flomax is a frequent friend, for a while.

Did They find it in the seminal vesicles? That is a real serious problem, Just wanted to make sure it’s not there.