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@tommyo

Hi there
Thanks for responding and yes this is the journey none of us wanted but here we are… I had 11 cores 3 were positive 2 Gleason score 7 (3+4) and 1 Gleason 6. Leaning towards SBRT at this point because I’ve heard the side effects are less.

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Replies to "Hi there Thanks for responding and yes this is the journey none of us wanted but..."

Similar findings to me but I had four cores of 3+4. How many lesions and location? I understand lesion location can make a difference in radiation treatment. I was told that surgery can have earlier side effects that diminish over time and radiation has fewer initial side effects that can increase over time. So many trade offs to consider! At 3+4, you shouldn't be in any hurry to make a decision so take your time to learn all you can.

I had 11 cores 3 + 3. And one core 3+ 4 (only 5% was a 4). PSA was 4-5. No cribform or perinureal invasion. None escaped prostate.

Was investigating surgery vs SBRT.

Then watched video by Dr Laurence Klotz some (suggested in this site) about active surveillance. (AS). Changed my thinking.

They asked why jump into radical treatment with low intermediate cancer.

Met with my urologist and scheduled a decipher test to be run on my biopsy samples.

If low results I will do AS. Urologist agrees.

If high I will do SBRT with spaceOAR gel.