Hi, I am a 49 year old and have just been diagnosed with Prostate Cancer. It has been caught early and I have been given a score of 7. I actually feel better now I know what I am dealing with. The build up to the appointment yesterday was incredibly stressful.
I have been offered the 4 types of treatment and I am struggling to decide which to go for. They all have pros and cons and just when I think I have decided on one, I change my mind again. I have 2 weeks until my next appointment so have time to decide.
I am also a self employed shop owner who works on their own so the stress of worrying how I can continue to pay rent and cover expenses keeps rearing its head.
I've joined the forum to see how other men are coping and deciding on treatments etc as well as looking for how other self employed people decided on their options.
Thanks for reading and thanks for allowing me to be a part of the community
Eh Up YorkshireVilla
A warm welcome to the Online Community - from t'other side of 't Pennines - although I am so sorry to find you joining us.
I assume you are talking Surgery, Radiotherapy, Brachytherapy and Hormone Therapy - but I have been wrong before!
You are right you need to list each treatment and the pros and cons of each treatment as to how they would affect you and any partner. Once you have done that, ask any questions you have.
I am self employed, I drive a desk and computer and in 4.5 years which I have had Hormone Therapy and Radiotherapy I have only missed work to attend appointments - I.ve never missed work although fatigue has been there in the background. (You can read some Community Member's journeys if they have completed their profile by clicking on their names or avatar).
I am happy to answer any questions you have and if you need any information on any particular treatment I can give you links to more information.
Best wishes - Brian.

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Thanks Brian, It was Surgery, Radiotherapy, Brachytherapy and active surveillance. I am loathed to go down the surveillance route as my PSA has been steadily rising for the last year so mainly looking at the other options. My dad had Brachytherapy treatment and it worked for him.
Good advice, I'll start that list!
Cheers
Hello YorkshireVilla
Thanks for your reply.
I am not a fan of AS - my outlook is it's cancer, it's not going away and the younger you are the better off you are recovering from any treatment, plus I am aware of 2 people who went from AS to Stage 4!!
Here you go then, I will start you off with 3 links:
Prostatectomy-for-prostate-cancer.
Radiotherapy-for-prostate-cancer.
Brachytherapy-for-prostate-cancer.
Happy to help with any questions.
Best wishes - Brian.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
Strength, Courage, Faith, Hope, Defiance, VICTORY.
I am a Macmillan volunteer.
Hi YV
Probably the easiest two are Radiotherapy and Brachy and as the latter worked for your dad it seems the obvious choice
Best wishes
Steve
Hello YorkshireVilla, I have also recently been diagnosed with prostate cancer. My Gleason score is 7, 3+4 with 30% +4 intermediate cancer. I have been told I am relatively young to have prostate cancer at 53 years old. Because of this I have been looking at Focal throepy such as High intensity focused ultrasound (HIFU) or Cryotherapy. Focal throepy can have a less chance of long term side effects like urinary, bowel or Erectile dysfunction problems, which is a big concern of mine given my age. This throepy is not right for everyone as it is dependent on your PSA level, Gleason score and where the cancer is positioned in the prostate.
Some alternatives to consider.
Hope it helps, Jason
Thanks Jason. Some great thoughts there and definitely something to consider
I was Gleason 6 (3+3) at diagnosis Aug 2024 and went on AS for 14 months when I then had a full template biopsy. My Gleason score was upgraded to 7 (3+4). The cancer was multi focal. I then had a RALP. Only one nerve bundle was spared. In hindsight, I feel that I should have chosen surgery when first diagnosed. I should not have gone on AS. The post surgery pathology report said that I had a greater than 3mm apical positive margin. I feel that with AS you don’t really know what is going on inside you.
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