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Best Wishes finding great Doctors and with your treatments. I have not had treatment yet and have just been studying treatments and information for the past 8 months.
This website https://www.prostatecancerfree.org/compare-prostate-cancer-treatments-high-risk/
attempts to pull information from different studies/reports. Then plot them on the graph. You can select/deselect different options to only look at a few choices at a time. If all are selected, chart is too difficult to read.
You will see surgery (alone) has approximately 50% relaspe in 5-10 years.
EBRT/Seeds/ADT has approximately 20% relaspe or 80% with no relaspse.
In 2026, SBRT may be better than EBRT and Seeds would likely be HDR.
Jeff’s recommendation of some form of External radiation, with HDR boost along with ADT would be good to discuss with Doctors. The external radiation can target the prostate, lymph nodes, seminal vesicles, and HDR target prostate more fully. Goal of treating the cancer but not damaging too badly the bladder and the rectum. From what I have studied.
You can research External radiation with HDR boost.
Best Wishes.
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@charlesprestridge Dr. John Sylvester discussed, among other things, the chart you refer to in a 2024 PCa Symposium presentation https://grandroundsinurology.com/brachytherapy-the-historical-evolution-techniques-and-efficacy-in-prostate-cancer-management/
I don't understand the prostatecancerfree.org website presentation of this data. The website attempts to imply that the data was updated in 2021, eg at the top of the chart displaying high risk studies is this headline:
"Prostate Cancer Treatments
High Risk Outcomes 2021
prostatecancerfree.org"
But if you go to the references page of the chart they present there is no study more recent than 2014 cited. Whoever is running the website appears to be undermining the credibility of Dr. Grimm's work. Grimm died in 2016.
Dr Sylvester's 2024 presentation that mentions this work makes no attempt to pretend it is more recent than it is.