What Option to go for.

User

Posted 10 Nov 2026 at 19:04

As previously mentioned. Fit aged 68 yr old who has been on Active Survellance for 5 years with score of Gleason 6 3 3. Recent tests MRI Biopsy Bone Scan show Gleason 7 4.3. Met with Consultant yesterday to discuss options. Prostrate Removal, Radiotherapy or Focal. I accept removal solves most issues but still very sexual active so that concerns us. Radiotherapy is fine but told hormone treatment likely and that worries me. I like who I am and don't want to be another me. Therefore Focal appeals either Hifu, Nanoknife or Cryotherapy sound good and I think but not sure Hormone treatment is not needed with these treatments. Any comments views appreciated.

User

Posted 11 Nov 2026 at 18:43

If you have low risk cancer, five high doses of radiotherapy, without hormone treatment is a possibility.

First thing is to find out what options the consultant is offering, if the above isn't offered ask the consultant if he can refer to somewhere which does do it.

Dave

User

Posted 11 Nov 2026 at 19:06

Hi you have quite a few options there.

I would consider well everything.

Husband is G8 and 74 so we weren't given a choice. We are a very together couple too with a very active sex life and as you say it's just our personalities and who we are so HT and Radiotherapy were very worrying. He's been on HT for a year now and had RT during July.

However if all goes well HT can be reversible in a way RALP may not be if nerves are damaged. They are also a lot of cases of Radiotherapy being needed afterwards anyway.

All I can say is HT in our case has not been the devastating event I thought it might be. If you have a lot of love ❤️ and a good relationship, that doesn't disappear. It's still there. Do message me and I can give links to more information. About 10 to 20% of men who had a good sex life before, still do during HT.

User

Posted 11 Nov 2026 at 19:54

Thanks. My Consultant seems to be pushing me towards full removal but I am not convinced. Radiotherapy is available nearby but he stressed that in the majority of cases Hormone Therapy runs alongside it. I have formally requested that he contacts those areas who offer other treatments out of area. We shall see!

Edited by member 11 Nov 2026 at 20:02 | Reason: Spelling

User

Posted 11 Nov 2026 at 20:00

Thanks Antoinette. Will wait to see what Consultant comes up with. In the frozen North East not too many options so have requested suitability for other out of area treatments. Have a wide circle of Prostrate mates several.of whom feel they were 'encouraged' to have full removal. Not sure they had to have such a drastic process !

User

Posted 11 Nov 2026 at 21:20

Fishy, I don't know what part of the "frozen" North East you are in, but there are some pretty major hospitals around Newcastle, Teesside and in Yorkshire so there ought to be options.

Bear in mind that a lot of prostate problems present as urinary issues which get referred to urology - and surprise, surprise since urologists are surgeons they have a tendency to favour surgery. You may find it helpful to also talk to an oncologist who could tell you the local policies around radiotherapy for your situation.

However it is a bit of a lottery at the moment from what I read. Research data has been coming out over the last couple of years about the effectiveness of radiotherapy without hormone treatment in suitable patients, but it looks as if NICE haven't updated their guidance which means it is a local decision about when to offer that.

Good luck.

User

Posted 11 Nov 2026 at 21:25

Cheers. I know there are good traditional services in the North East. However for some of the newer Focal treatments HiFU, Cryotherapy and Nanoknife for instance they are referring me to London and Southampton NHS areas !

Edited by member 11 Nov 2026 at 21:30 | Reason: Not specified

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