Hi ME68, I did ask about Brachytherapy but he advised against it because of my Gleason score. I think clinics around the country have different clinical practises - I’m learning this more and more as I talk to other men.

hormone treatment would start immediately which mean RT would be 3 months later. In NW surgery would be 6-10 weeks wait

That surprises me cos you have exactly the same Gleason score as I had 3+4 .I had 12months Hormone therapy .As I said before,  my cancer was close to edge of capsule so advice was High dose brachytherapy,  I had to travel for it but I don't regret the decision, the consultant told me(very positively )they were able to treat all the cancer with 20needles...in follow up consultations I asked about cause of my side effects and they are a result of the external beam treatment to sweep up in case of leaking out of capsule. 

Best wishes 

I was diagnose nearly three years ago, Gleason 9 (5+4) T3A PSA11.5, only one or two biopsy samples were clear. Consultant recommended treating in situ, 3 years of 6 monthly hormone injections (just had my last), HDR and 25 sessions of radiation, which I finished two years ago.

Now on oral hormone to prevent spread, should be finished in October, PSA 0.003 for over a year now.

My sex life has been curtailed, hormones killed my desire, yours will be too no matter what treatment you choose, although you should still have the urge if you have it removed but you will still require medication and probably a pump.

Good luck with a difficult choice but be rest assured the treatments now are extremely sucessful.

Justin