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@surftohealth88

Just a short report about consultations since I am sure there would be perhaps similar patients in the future and might need some prospective and help in making decisions.

Meeting went great ! I was impressed with not only doctor's expertise but also with his honesty and genuine care. Radiologist took time ahead of the meeting to study our particular case and made detailed plan and program for treatment with 3 possible protocols using different radiation techniques. Since my husband has cribriform and IDC the most aggressive approach was deemed as one that would give the best results (radiation + ADT + one maxi brachi hit in the single spot with IDC using probes). The aggressive features of IDC and cribriform require aggressive approach. BUT - there is only one approach that is even more "aggressive" toward IDC and that is RP.

I can not express my gratitude to this doctor who put my husband's interest ahead of everything else and who spent 40 minutes presenting ALL of the options in every possible detail just to basically at the end give us a "wink" to go with our plan to have RP.

We are lucky that my husband is in good age group and healthy enough to have RP but I would also like to say that if you can not have RP or do not want to have it, there are many radiation options for you with possibly good results also. In case you have IDC and cribriform , RP would however give you the best chance of getting rid of the cancer.

Nobody can predict the future, of course, and results are also dependent on doctor's expertise. If you decide to have RP find the best robotic surgeon you can find, possibly in center of excellence or the one who did thousands of prostatectomies.

We are now doubly reassured that our plan and our gut instincts were correct and now we can concentrate on surgery preparations, PT for pelvic floor, etc.

Thanks everybody for all of your help and advice : ))).
Bill, you are as always source of wast knowledge and ALWAYS there to help everybody and/or offer the shoulder - may the universe return that to you in multiples < 3

Wishing you all wonderful and relaxing weekend and upcoming Mother's Day ! : )))

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Replies to "Just a short report about consultations since I am sure there would be perhaps similar patients..."

Excellent consult. I was going to mention the High Dose Brachy to the aggressive area and then either SBRT/IMRT, but your RO beat me to it!😁
A lot to consider but one thing I would ask is this: If you decide on the aformentioned radiation protocol, which type of radiation would be better if you ever DID have to consider salvage surgery? SBRT or IMRT? They do the same thing but one is very focused, and the other not so much. Couldn’t hurt to ask. Best,
Phil

So glad to hear your radiation oncologist consultation went so well.