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Hi Michael. Glad I could be at least of some help with a suggestion anyway. Too bad the number of cores thing though. I only got one call from the good Dr. Morris (a nice fellow by the way) when they had the results of my 38 core biopsy. since then the Dr. did a "whole gland" brachytherapy for me. 145 seeds. Maybe one of the Ontario things might work out. Well, got to go. best wishes - Rick
P.S. It seems to me a matter of simple logic that any treatment that allows as little trauma and bodily disturbance as possible, which is the very heart and goal of Focal Therapy, should be far superior to the so-called Whole Gland whatever? therapy. And it amazes me that the powers to be are so reticent about this thing called Focal therapy! I'm really surprised (well maybe not! nor should I be!)that this can't be recognized and understood and that more funding isn't being made available for this type of therapy. Lord knows there are certainly enough willing participants.
Well I have concluded my research and have decided to go for surgery (radical prostatectomy) as watchful waiting seems too risky, radiation does not appeal, focal therapy still unproven.....
Hopefully with my young age, great health, small localized tumour site, no symptoms, negative DRE and experienced surgeon I will have a good recovery.
Good choice. I was with a Gleason score 3+3=6 when I was 43 years old back in 2002. Had my surgery and been fine. My PSA never reached zero. It average .2 for many years. I think doing surgery first is the way to go, and if that fails, radiation, and if that fails, chemo. Each protocol one can buy more time. Good luck.
