@lcbc

I was 69 when I had 5 radiation treatments with the MRIdian linac which had a built in MRI so the margins of radiation exposure to healthy tissue, which impacts side effects and quality of life, outside the prostate, were 2 mm instead of 3-5 mm for most other radiation machines. The Elekta Unity is the only other machine that I know of that has a built in MRI. What they see, in real time, they can treat.

My side effects were limited to a slight reduction in urination after my third treatment, which Flomax took care of overnight. I had no pain, no bleeding in the rectum and was still able to have erections and orgasms shortly thereafter.

That was in February in 2023 and before treatment I had a PSA of 11.2 and a Gleason of 3+4: Low risk decipher. I did have spaceoar. Still all good today. I would do it the same way today except maybe a different type of biopsy.

Multiple opinions from centers of excellence or those trained at centers of excellence was also helpful.