@rlpostrp
I have read and been told it is very hard to find a urologist who can do surgery on prostate after radiation and cited the reasons you did.

However they are out there but very hard to find as takes some exceptional skills to do it.

I think MCC posters will agree the statement of urologist that you will die of something else or you will be alive in 15 years and assume everyone cancer is slow growing. They should just be honest and say we will do everything to keep you cancer free.

Can I asked did you have the Decipher test done after your biopsies? That test gives a more precside diagnosis of the risk level of your cancer.

I had proton radiation done (30 rounds) in 2023 with a PSA of .10 just done 2 years later.

Has your urologist referred you to a R/O? Can they not do radiation on the others areas where cancer is.

I know if my cancer would come back I would look at new treatments even clinical trials. I know Mayo is working on a type protein that attaches to prostate cancer cells only and kills them leaving healthly cells alone. I am unsure if in clinical trial basis yet.

I think what a urologist and R/O should give is the options for treatments and the pros and cons of radiation and RP.