@dmx Doctors try not to give you a sense of urgency. Most patients are spooked by the word cancer. See what reaction you get if you tell them you plan to spend the next 8 months deciding on a treatment. Most prostate cancer patients have that option with little or no impact on outcomes. Your husband probably does not. If the cancer is in the vesicles, it has already escaped the prostate capsule but is still in the local area. Not urgent in the sense of days but rather within a few months. Will probably take a couple more to get treatment after the decision is made.