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All I can say is if you have a question ask us.

You’ve asked a question that can only be answered by a magician. However the likelihood you are found to be diagnosed you will be

Put you on HT hormone therapy.

Given the choice between radiotherapy and surgery if you are not presenting with a breakout.

Or AS active surveillance

Or given chemo pills

The choice you originally asked for will not be easy to chose for you because we are all different and have different needs, including after care. You’re on you’re own which are big factors for some choices.

The real question you should be asking is: what should I be asking at my diagnosis meeting. And there’s papers on that that can be given to you by dear Brian. Millibob will be calling later to help.

Good luck

Hello James (JamesCoggers) 

A warm welcome to the group although I am so sorry to find you joining us. A T3a with a low Gleason score and without any spread you should have the options of various treatments open to you.

My advice would be to get a pen and paper (or spreadsheet) and do a list of the pros and cons of each treatment as to how the treatment and the possible side effects would affect you. Use trusted sources for your research, Prostate Cancer UK, Cancer Research UK and Macmillan (not Dr Google). 

i will start you off with links to Surgery, Hormone Therapy/Radiotherapy and Brachytherapy:

Prostatectomy for prostate cancer.

Hormonal therapy for prostate-cancer.

Brachytherapy for prostate cancer.

You can browse the Community and if you click on some Community member's names or avatars you can follow their personal journey (mine's not a simple one). You will find most Community members will be happy to answer any questions you have.

I wish you well - do keep us posted as to how you get on.

Best wishes - Brian.

Much appreciated 

James

Hi JC

You don't give any PSA figures which can help with the advice.

Probably if T3a better off with HT and Radiotherapy but that's just my opinion obviously.

As Brian has said make a note of side effects for RT/HT and surgery to help you decide.

ED can be a big issue with surgery but has to be said , not always.

Best wishes 

Steve 

Yes sorry. PSA 14.1

And it's in both lobes