Hi fritzo @fritzo,

re: you writing "It sounds like it is rare for most to have Decipher test information prior to a RP since it is a tool for accessing radiation options."

Sorry but Decipher is not a tool for accessing radiation options. It tells you how aggressive a particular cancer is. And yes, at a certain aggressive point, Decipher can help your doctor decide whether to add ADT atop the radiation.

The only test that I know of for assessing radiation options is PROSTOX. PROSTOX helps identify your risk levels "for developing Grade ≥2 or higher late genitourinary TOXICITY after prostate directed treatment."

PROSTOX Ultra tells you whether you are Low or High Risk for SBRT. And PROSTOX Standard reports Low or High Risk for CFRT (IMRT). The ideal is to score Low on both tests bc you are free to choose either SBRT or IMRT. If you score High on one of the tests and Low on the other, you still have a radiation path.

But! About 1-2% score HIGH RISK on both PROSTOX tests! We did! And the radiation door was slammed shut! I asked my husband whether he regretted getting the test. He responded immediately with "Absolutely not!"

He has an existing "weak stream" score on the International Prostate Symptom Score (IPSS) test of "5". That kind of "weak stream" plus a Double HIGH RISK for radiation!? ...yeahNO.

That said, prostatectomy is out too....