My biopsy in July 2024 listed me as 4+3, and I chose surgery after talking with maybe 10-15 people. The surgery in November 2024 showed my cancer was more aggressive - 4+5, and the surgeon said it could have been fatal if we had waited. I had a number of adverse factors, including bladder neck invasion, cribriform and multifocal. My PSA remained low (0.04) but we decided to move ahead with radiation because it was trending in the wrong direction. I had Lupron in October and started radiation in December. I've had 35 treatments with 4 to go.

I found the process of deciding on a treatment frustrating because I had to make the decision as the least-qualified person at the worst time in my life. I'm confident this will work but after 18 months it's hard to know anything for sure.