Postby professoreden » Mon Apr 25, 2016 6:10 am
In my opinion your best (but not only) option would be surgery. This is because it will give you a final grade and stage (which accurately predicts prognosis), a target PSA of <0.1 ng/ml, rapid identification of recurrence if you are unlucky enough to get it, radiotherapy and hormonal therapy held in reserve for this possibility (which is well tolerated because a lower radiation dose is given than for primary radiotherapy), no risk of radiation-induced pelvic cancer and good functional results in the hands of a high-volume surgeon. Younger men and men with higher-risk prostate cancer benefit the most from surgery and (unfortunately) you fit into both categories.