jmadrid,

Can I assume you're in Spain? If so, some of the expressed ideas based on experiences in the USA may or may not be achievable there--your medical system and how it operates is different.

That being said, with 2 G6 cores, AS is a real option for you. If you don't understand what that is, it's a program of regularly checking for progression of the disease, and IF it starts to do something, then you take action. It's been shown in many studies that for low risk cases like yours, there is NO DIFFERENCE in outcome between treating immediately and doing AS for (in some cases) many years.

You've got a challenge. With your large gland, some of the radiation choices are more challenging (such as LD Brachy), but with the apical tumor, surgery becomes more challenging.

Have you consulted with a radiation oncologist? We say often in here that it's a bad idea to ask a surgeon about radiation treatment. It's not their specialty and expertise. If you want to know about what radiation treatments are available and useable in your case, consult with someone who does it for a living.

JM the more I read and think of my disease, the issue of what am I comfortable with is more and more important. We can be cured, I am told, with his certainty with most any of the mainstay treatments. The cure is a primary objective, IMHO. I am also starting to believe more strongly that I need to have trust and comfort with my doctor(s). I am and will ever be an expert, I know a lot about this disease but need professional help. So my journey continues, in a couple of weeks second 3tmri and a meeting with my Uro and Radoncol to decide on next steps. Every experience that I have had at Yale Smilow hospital has been awesome so my comfort is high and trust is getting higher. Keep asking questions!! Peace Denis