Having been on active surveillance for about 18 months, the time has now come when I really must be getting some treatment. Gleason 7 (3+4) T2c and PSA now risen to 19. Most of the posts I have seen on this site appear to relate to surgery rather than radiotherapy. I have read about a million articles about the pros and cons of the treatment options, and the more I hear , the more confusing it all becomes.
At the moment I am however leaning towards the SABR 5 dose radiotherapy, and if possible with a rectal spacer. They have also advised 6 months hormone treatment 😕
Is there anybody out there who has recently been down this route?
I am 65yrs old, a bit overweight but active (tennis, swimming etc), I am symptom free, apart from mild ED which came about as a result of the second of my 3 biopsies, and this has been easily managed with tadalafil. I know I am extremely unlikely to escape without any side effects of treatment, but I am looking for the "Least worst" option.
Any help, advice or words of encouragement would be very welcome. Cheers.