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@ambika
Yes, the barrier gel is really important if you are having radiation. The thing is, there are more things to consider besides the barrier.

Were any of these things found in the biopsy intraductal, cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive.

Because he has a Gleason nine have you been told he should get on ADT? Are they planning on putting him on it soon?. That really is an important thing to add with a Gleason nine. That can prevent reoccurrence and they usually want to do it for 18 to 24 months. It is also possible to use estrogen, With estradiol patches, Instead of ADT. It has been proven to be just as effective.

Here is a video about using estradiol instead of ADT. It cost a fraction of the money which is a reason doctors don’t recognize it. There was a patch clinical trial done in England that Showed it was just as effective as ADT, but had many if you were side effects.
https://ancan.org/

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Replies to "@ambika Yes, the barrier gel is really important if you are having radiation. The thing is,..."

@jeffmarc His PSMA PEt/CT was done on February 27th 2026 at Stanford, CA but we haven’t seen the report. However one doctor who does HIFU and TULSA PRO at Stanford with whom we have a video meeting emailed saying that my husband Mark is not a candidate for that because he has a very high grade cancer but it is contained in the prostate. We have an appointment with Radiation Oncologist, Dr. Mark Buyyounouski at Stanford on 03/20 and with another radiation oncologist at UCSF, Dr. Mach Roach on 03/27 and I am sure they both will recommend hormone therapy. However my husband also had a full knee replacement surgery at Stanford on 01/27/2026 and hormone therapy will make his knee recovery difficult.
I have also contacted Dr. Stephen Scionti, a HIFU, TULSA PRO and Cryotherapy specialist who has dedicated 25 years to master only these treatments and is perhaps the best in terms of experience and expertise and has helped complex cases. Once he obtains my husband’s medical reports from Stanford he could tell us if my husband’s case is treatable by those therapies. It is not covered by Medicare and his supplemental UHC insurance though.
If you have any insights you would like to share please do so. Listening to patients tips and experiences prepares other patients not to make mistakes. I saw the link in this group about Estrogen Patch instead of ADT . Dr. Mark Scholz from non-profit that educates prostate cancer patients doesn’t talk about using estrogen patches. Is using estrogen patch better from point of view of side-effects or only cost?
There is another member from this group who pointed out to me that that Dr. Mark Scholz omits LOTS of details in his videos. I wonder what are those details.

@jeffmarc I tried to send you email but it shows “invalid “. I guess it is not complete as it shows here.
I would like to send my husband’s PSMA report etc to the moderator for high risk group. I forgot what was that link called. Who is the moderator for that group.
I called Bill Franklin and he sent me the Go To Meeting code.
If I send me my husbands PSMA report can he forward it to the high risk group moderator please.

If I have moderator’s email I can send him directly these reports.
Thanks