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Fred I have yielded some ground in relation to AS recently, namely T2A and 3+4 and <10%. I trust the AS disciples on here will acknowledge that concession.
My comments to Rene still stand however, particularly in heeding the fact that PCa tends to be more aggressive in younger men. Rene's husband could have surgery, make a good recovery as most men do, and get on with their lives, or he could stay on AS with the protocol that I have described, the choice is their's. Literature tells us that active treatment will be required at some point, either it will be at a time of Rene and her husband's choosing, or when a trigger has occurred.