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← Return to ProstoxUltra & Prostox CFRT both high risk-switch to RALP?
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ProstoxUltra & Prostox CFRT both high risk-switch to RALP?
Prostate Cancer | Last Active: 13 hours ago | Replies (18)Comment receiving replies
I too had a 3+4 from a Pirads 5 lesion and two Pirads 4 lesions with Decipher 0.81. Using both my local doctors and MD Anderson in Houston, I went with 26 IMRT sessions obtained locally and one HDR Brachytherapy session as a boost to the prostate in Houston along with one year of ADT. It's the high Decipher score that drives the need for ADT and extra radiation. I will be one year post ADT in February 2026. Testosterone has recovered along with full sexual function. Never had to use ED pills and never had any incontinence. An RP is way more risky in terms of long term side effects and also more risky on the chances of recurrence.
Never had a Prostox test and never considered SBRT because IMRT is better for treating the entire pelvic region.
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@wwsmith
I am sorry, but you have wrong information.
For low and intermediate cancer the chance of BCR is the same for RP and RT, and for high risk PC RP gives better results (longer period before BCR ) .
Of course, every case is different and all also depends on skill of a surgeon and /or radiologist - but statistics in multiple studies show above stated facts.
One can always find isolated study that shows something different, but there is consensus of multiple studies that show that patients with low and intermediate PC can have equally good results with either RP or RT , with a caveat that if BCR happens, than RP patient has an option of having RT as a "second chance" for eradication , while initial RT patient can not irradiate the same area twice.
That is why young patients are always advised to do RP because their life expectancy is higher and chance of having BCR is than greater . For the same reason RT is not preferable as initial treatment in very young patients because chance of developing secondary cancer due to RT is a possibility if patient lives for 10 or more years after RT.
All in all - there are so many factors to consider it is not easy nor simple decision, nor it should be done in a haste.