Augustahus: The radiation proposed by your Oncologist looks like the correct course of action. Why are you waiting?.

You have not given your Gleason score but the PSA doubling time of about 7 months appears to indicate a fairly aggressive and fast-moving cancer.

I just turned 92, had a Gleason score of 8, fully active, in good health with hypertension. high lipids and pre-diabetic glucose, all under control with diet, exercise and medication. PSMA-PET scan showed one tumor in the prostate with no spread beyond the prostate.

I was treated with Androgen Deprivation Therapy (ADT) for 20 months before my radiation treatments. I expect to continue the ADT for 2 to 3 years after the radiation.

I completed 28 sessions of Intensity Modulated Radiation Therapy (IMRT) as my primary treatment 4 months ago. Very easy, I was able to go to my exercise classes after the therapy, and had minimal side effects during and for 2 months after radiation. Now there are no side effects. For me, the radiation was a “cake walk”.

The PSA decreased to less than 0.1 within 3 months following the therapy, and it is still falling.

Good luck with your treatments.