You can frighten yourself with this question. Your doctors have offered an attempt to cure it and that's good news. They don't offer that to everyone.
We're all different so the cure might work or it might not. If you read a nomogram you're likely to find that with a high pre-treatment psa, and Gleason 4+5 you are in a category of higher risk of it coming back. Whether it will is another matter, there are those who we never hear about and those who write on here who have been on treatment for 15 years.
Also they often say the longer you stay with a low psa the slower it's likely to progress if it does come back. With radiotherapy you could be on hormones for months after treatment. Then it takes longer to learn whether it worked as the psa doesn't go down fast and can actually go up before coming down. It could be up to 2 years before you know it's worked.
I'm also higher risk but I find I can tell myself there's a good chance it won't come back, although when psa testing time comes up every year I begin to wonder how long my luck will last.
Your doctor has offered a treatment to cure is a good way to think I find.
There are links to nomograms somewhere but a Radiotherapy one didn't come up when I searched.
All the best, Peter
Edited by member 02 Apr 2021 at 15:11
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