It would be interesting to see whether the new stats change the 20-30% chance of biological re-occurrence from robotic prostate removal. That was the reason I backed that out as an option even knowing the limitation to doing it if I chose radiation first. The risk was not for me. Maybe that % has changed and they talked about at the seminar along with side effects.

I had the mridian Linac machine that targets the cancer using 2 mm margins (instead of 3-5 mm for other radiation) in February, 5 hypo fraction treatments. Real time MRI built into the mridian. Auto shutoff and dynamic planning, no fused images used as a primary means of treatment. I was 69. No ADT. 3+4. My goal was to protect healthy tissue. Since February, my psa went from 10.2 to 4.6, 2.9 and a week ago, 1.4. Down is good.

There were not enough stats related to Tulsa Pro for me to feel comfortable with it. I also felt that any microcells that might cause re-occurrence were not "potentially" treated and that included, heat, cold, ablation...choices.

I looked at Proton as the other alternative as well. Many people chose proton and like many of the choices, they would do it again.

As you can see from the responses on Mayo Connect, there have been many successes with multiple choices, including Brachytherapy. PROTECT your healthy tissue. It makes a difference with your side effects.

You might want to use the search function to check out the comments on each type of treatment on this web site. At least you will have a "feel" for the strengths and weaknesses of each treatment.