← Return to Diagnosed today w/ PCa. Seeking feedback w/ treatment I think I want

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Profile picture for heavyphil @heavyphil

@thig350 You are not going to avoid salvage radiation by having radiation as your primary treatment; you simply WON’T be able to have it if your primary treatment fails.
And radiation (all types) fails just as much as surgery so do not view it as superior as far as outcomes are concerned.
SBRT would be an option if your cancer recurs, but you’d probably need ADT as well.
My decision to have surgery was, in fact, because I COULD have SRT if needed…and I did.
Phil

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Replies to "@thig350 You are not going to avoid salvage radiation by having radiation as your primary treatment;..."

@heavyphil That was my rationale as well, and what I was consulted to do by 9 doctors: get it removed and you can still do radiation later if you need to.

The one thing that people also forget is that the only way to know the true state of your prostate is to have it removed and get pathology, something that no longer is an option after radiation. My path upgraded my scores in several places, and it 100% confirmed I made the right choice to remove it first.

To each their own, no treatment is risk or stress free, but I think when you are under 60 the choices are often clearer today than 20 years ago and certainly you are in a better place to recover than you will be at 70.