I am a 63 year old, 8.1 PSA, Gleason 4+3 "unfavorable intermediate risk" patient. Only one biopsy core positive had Gleason 4+3, but I also had eight other positive cores with Gleason 3+4. No IDC or Cribriform which I acknowledge are more problematic, but my Gleason 4+3 core did touch the outer perimeter of my prostate.

I chose SBRT radiation for my treatment primarily because the 4+3 core was in contact with the outer perimeter. This concerned me because it seemed reasonably likely my 4+3 core could have some microscopic escape from the prostate into the surrounding tissues. If so, then I believe the SBRT radiation will take care of this while radiating the entire prostate.

However...if my cancer did not contact the outer perimeter of my prostate, then I probably would have selected RP surgery instead of radiation.

I'm cheering for you. Best wishes.