 - Clinical Tumor Category T1b, T1c, T2a and PSA greater than 10 or Gleason score equal or greater than 437 or PSA velocity 2.0 ngml per year and also eligible patients with tumor category T2c, T3a, T3b, or T4 as per 2002 AJCC guidelines. Any minor tertiary grade of Gleason 5; Biopsy Proven or Radiographic erMRI Seminal Vesicle Invasion; Gleason or 347 with 50 or more cores positive 