So, as you are learning, there are many decisions to make...

First, treat or not.

with the biopsy result of only one 4+3 you could decide on active surveillance.

You can decide to treat,, with what, when...treatment choice and opinions will be many.

Here's an example of one possibility - https://www.urotoday.com/conference-highlights/eau-2021/eau-2021-prostate-cancer/130842-eau-2021-treatment-options-for-de-novo-mhspc-local-treatment-surgery-primary-lymph-nodes.html

Here's another - https://www.urotoday.com/conference-highlights/eau-2021/eau-2021-prostate-cancer/130842-eau-2021-treatment-options-for-de-novo-mhspc-local-treatment-surgery-primary-lymph-nodes.html

and, one more - https://www.urotoday.com/conference-highlights/eau-2021/eau-2021-prostate-cancer/130840-eau-2021-treatment-options-for-de-novo-mhspc-systemic-treatments-how-to-choose-the-right-treatment-for-the-right-patient.html

Kevin

Thank you Colleen. I am meeting with my Urologist who did the biopsy in 1 week to go over the results and I'm sure he will discuss options with me. I will be sure to get back on the forum with the results of that visit.

In addition to robotic surgery, I have been offered IMRT combined with ADT and also offered SBRT. I am interested in Proton treatment so I have another consult scheduled next week to talk about that option. The most nerve-wracking part is the decision-making process - it's like "pick your poison".