@jeffmarc My prostate was measured as 62 cc prior to taking Orgovyx. That size is not a barrier to brachytherapy in Europe, the U.K. or Canada. It was an issue, but research has shown that as BT technique improved, larger glands can be treated without issue.

When the Europeans changed their brachytherapy size limit from a stated "50 - 60 cc limit" to "much larger glands can be successfully implanted... with good results" they cited a paper by a Mt Sinai researcher, Dr. Nelson Stone, who found that glands greater than 100 cc could be treated with no increase in toxicity. There are US BT clinics who advertise they do larger glands.

My RO says my prostate will be smaller now that I am on ADT. He is interested in studying my LUTS, so I will know what he thinks after he does his imaging and whatever else his plan calls for. He has changed the way he talks about brachytherapy completely, from I am not eligible, to descriptions of how he intends to do his HDR BT, as if he feels confident that his imaging studies will not convince him otherwise. I appreciate that he is very interested in being confident that he is choosing what he believes is the best course of action.