What a great question! Prostatectomy v Radiology. 2 different approaches. My first diagnosis left me little choice. Gleason 9. Bye by prostate. The surgeon spared me a nerve...thank goodness for that. Like someone has mentioned, we are never cured. I consider this little devil just resting, waiting to return. Hopefully not with a vengeance. Well, mine did return. The oncologist recommended exactly what he is trained on - hormones. The radiologist, different training - radiology. The oncologist said we could kill that little SOB. The radiologist just said he felt confident he could give it a jolt. I think hormones are more powerful, but they have side effects I'd rather not content with. So we gave it a jolt and have sent the PSA tumbling down. No side effects. I guess I opted for current quality of life v. longer term benefits. Bottom line - find good docs whop can lay out pros and cons. But we're the ones making the choices. Enjoy life while you can!!!