I have just been diagnosed with Locally advanced Prostate cancer T3 N0 M0 - CPG 4.
I have been recommended Radical Prostatectomy or External Beam Radiotherapy to include hormone treatment and I am really struggling to choose between them.
I understand that urinary incontinence will be much higher with surgery than with Radio/Hormone therapy as will erectile issues. But bowel control problems are lower with surgery.
Then the list of additional potential issues with Radiotherapy and hormone treatment including bone, memory, heart disease, breast swelling secondary cancers do not seem as likely with surgery.
So I am struggling to balance all of these off to make a decision.
So any help in advice as to which to take would be really appreciated.
One other question. Why is hormone therapy given with radiotherapy? Is it because there is risk of the cancer not being removed with radiotherapy? And how likely is this with surgery?
Thanks Tony