Two years ago I was diagnosed with PC Gleason 9. I was advised by my UCLA doctors that my cancer was aggressive, CR, but did not spread beyond the seminal vehicles. They advised me that Radiation and RP were about the same effectiveness, but if I had radiation, a later surgery would probably have little benefit. I chose RP. It was not a bad surgery and after surgery was not bad ( but the ADT ended libido etc). I thought then and now that the RP kept important additional options for me, especially due to the aggressive, castration resistant cancer that I have. I believe that my thinking was rational and I would make the same decision again. Good luck to us all.

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