For men in their 50s or 60s who chose brachytherapy or external beam

When I met with my radiation oncologist at Dana Farber Cancer Institute as I research my options (65 yo, 3+3, 7/15 cores), he said I was not a good candidate for the seeds due to my long history of BPH and frequent urination. He will not do the 5-day high dose radiation (SBRT?) as he feels this technique is too new and he does not know long-term effects yet. He is pretty conservative in his approach, so not sure if others would be more open to it.

I was diagnosed at 61. I am 65 now and have gotten back my erections to the point where it was pre cancer. I had a 31 PSA, 9 gleason and seminal vessel involvement…… I chose Brachytherapy and 25 sessions of external radiation. My Brachytherapy was done with an implant. I had it done at the University of Nebraska Medical Center in Omaha. My Radiation oncologist is a Dr by the name of Michael Baine. He is so awesome ! The difference for me was the 3 years of ADT hormone therapy. I think I would have been back in the saddle pretty quick after my treatment without the ADT. Just my thoughts. Good luck

I have not decided yet as my docs are saying I can wait until May (6 months after biopsy) for another check of PSA, MRI, and possibly another biopsy. Meet with a surgeon next month, then will likely decide best treatment for me.

well you may not want to hear this. I was 56 when I was diagnosed first of all is your cancer cribiform. If you don’t know it you better find out. Send it out for decifer testing. I will tell you why. Cancer I had was 3+4 of cribiform nature. Everything was contained at a prostrate and all that good stuff problem was I was scared to death of surgery. I chose external beam radiation with a breaking booster. After the second treatment, I could not urinate at all, I had to take Flomax from then on twice daily in order to urinate. It messed up my bowels something terrible in my bowels are still messed up to this day. After breakytherapy, I had extremely bloody hemorrhoids for about a week and then I had very loose stools, and I leaked out my rear end for about six months , then 6 years later, my PSA started to climb they did a biopsy and cancer was still there only the gleason 4 cribbiform . The tumor was right next to the marker two surgeons were convinced that it didn’t work because the cancer was Cribbiform. One surgeon told me studies as of late or showing that cribiform looks to be radiation resistant so next up surgery salvage surgery done at UCLA California I was on the table for less than two hours, catheter was no big deal. I do leak a little bit now only because it was salvage surgery, but I tell you what I did not lose any length and I can still get an interaction if I could go back I would not even think about doing radiation and barchytherapy I would remove it , if you look up the gold standard for prostate cancer, it is surgery and then God forbid it happens to come back you can do radiation and then you even have a third chance with hormone therapy. I am nine months out of salvage surgery and I am cancer free and I hope to stay that way. Just remember have it checked for cribiform the rest is up to you it’s not crib form you probably have a good shot at a cure, but it is cry form take my word for do not mess around

There has to be more to the non-SRBT recommendation than is evident here. Some contraindicator or related factors that resulted in a non-SRBT recommendation. I've been treated by Dana Farber for well over a decade, and that includes SRBT therapy which they delivered to me 4 years ago.

getting cribiform out of the puzzle is a good thing

don’t forget either. They don’t exactly know the results 10 years after a person has radiation radiation can cause another cancer and that’s not a good thing either.