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@buckeye54

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".

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Replies to "In addition to robotic surgery, I have been offered IMRT combined with ADT and also offered..."

Dear buckeye54, I understand the feeling you're having. It's the same one I had nearly 3 years ago. One thing that helped me was reading a book on beating Prostrate Cancer by Bob Marckini. In his book he has a table that he used to list some of the treatment options and the pros and cons of each one. He was going through the same thing you and I faced in picking our poison. He chose Proton Beam Therapy and talks about the rational. He did not have ADT with his treatment, so you would have to add the pros and cons of that as well.
After reading his book I chose Proton Beam Therapy.

When I met with my radiation oncologist he said I should also have ADT. My Gleason score was 8, high risk cancer. He told me the pro was giving me an added 20% chance of survival and the cons are the side effects. My background is in research and I had to see his research. He was on solid ground and I approved the ADT. So men with less sever cancer, e.g. Gleason of 6, can probably have just radiation, but discuss it with your doctor.

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