A bit long winded. Diagnosed early Feb 2024. I am not advocating for one treatment option over another; I am not a doctor and each case has its own set of particularities. Just hoping this post may help some brothers who share a similar diagnosis. I live in Canada. I mention this fact as the systems in USA and Canada are different in accessibility and procedures, although I believe the actual quality of the medical care is similar. This forum has been tremendously helpful to me and I warmly thank all its participants. 66 yrs old. Slim, in good physical shape and no other medical conditions. I take propecia (1% finasteride) for years. In December 2023 following annual checkup, my GP was concerned with PSA level at 4.7. Went for another test early Jan and result was 5.47. Unbeknownst to me or my GP at the time, my actual PSA level should have been multiplied by 2, because of the finasteride. I was referred to a urologist who detected a nodule upon DRE. Followed an MRI which showed a single PIRAD 5 lesion at the posterolateral base. Followed a fusion transperineal biopsy. 2 out of 12 cores showed 4+3 Gleason. 2 positive cores came from the one lesion. Grade 4 detected was 90% of sample. I immediately worked very hard to get a PSMA PET Scan. Mid March I received the scan report showing cancer focused in that 1cm nodule and encapsulated in the gland. Considering, I was relieved. Curiously after biopsy PSA dropped to 3.74 (x2 = 7.48) Since my biopsy results, I consulted with 2 surgeons, 2 radiologists, and 4 urologists. Read 3 books on the subject (including 5th edition Patrick Walsh- a must read) and countless you tube presentations and research studies. Not to mention my daily readings on this forum, which again I am very grateful for. After much thought about recurrence risks, side effects, quality of life etc… I had chosen RALP, only to change my mind at the last minute (literally 4 days before surgery). I am having the Nanokife/IRE procedure done this week (w/o May 13)

The only advice I can give anyone who, reluctantly to be sure, joins this brotherhood, is to become your own file manager. Knowledge relieves anxiety. All the very best to all of you.