Hi Ford55
sorry you’ve had to join this band of men but at least we have this site, forum and all those who contribute, to help us out.
I opted for Brachytherapy and had my treatment in March this year. My staging was similar to yours and I’m a similar age, I will be 66 in October.
The procedure went well, I’ve had or still got, most of the common side effects but nothing that’s affected my everyday life. I had hoped, initially, that after 3 months I’d be back to normal, I’m not there yet but things are still improving. I had 72 seeds implanted, I think it’s based on the size of the prostate but if it’s too big, not sure what the limit is, it might preclude this as an option.
My lasting effects are a burning sensation when urinating, thankfully I’m back to 6-8 times a day down from about 12-14 at its peak and my stools are a bit loose and I go more frequently than before having been constipated early on. I normally wake a couple of times in the night, down from about 4 but my flow at night is still very slow. I did have a couple of urine infections both times cleared up with a 7 day course of antibiotics not something that is that common after treatment and may not even be related but I’ve never had one before.
Medication wise, I’m on Tamsulosin 400 mg daily and Sildenafil 100mg twice a week, both until my next review in October. I tried doubling the Tamsulosin and adding Ibuprofen for 7 days to try and address the nocturnal flow issue but it made no difference so we’ll see if anything needs to be done about that long term, at present I can live with it.
So I guess all in all I’m very happy with the way things have gone and if it’s done the trick, which it does in +90% of the cases, then I’ll be delighted.
Good luck with your treatment and onward journey, keep us posted and all the best, John