I have prostate cancer . PSA 5.2, Gleason 7. That s all I know about it. My urologist recommends prostatectomy . My radiologist recommends seed brachy. They don t seem to want talk to each other. I have to choose soon, and I am very confused. Any advice, please? Is brachy good with Gleason 7? My urologist has scared me by telling me that if radiation fails, it makes any later surgery much more problematic. Both of them describe their processes as easy. Thank you very much.
Dear Sir, Sorry to hear about your problem. Gleason score represents the grade of the tumor and not the stage (amount it has spread), therefore has no role in deciding the management. If your tumor is operable and your age is less than 70-73, you should go for surgery. If your age is more than 75, then go for branch as surgery after that age will be associated witChatDoctorplications. Both the treatments have their pros and cons, but both are effective. You should ask both of them to tell you more about the procedures and then make up your mind. Hope you get well soon.