Need help deciding on treatment.

The LDR brachy boost therapy does significantly better than LDR brachy monotherapy with unfavorable intermediate risk PC. Monotherapy is sufficient with HDR brachy or SBRT because they both treat outside of the prostate. RCOG has a lot of experience treating that sort of thing.

VA,
Just wanted you to know that I definitely empathize with you at this time since we are both in the process of trying to find a compelling reason to select a treatment for our disease. Since my biopsy and diagnosis in January, I have been persistently reading books, forums, and blogs plus watching videos that chronicle this journey from diagnosis to treatment and afterward. I find the educational process, while enlightening from a factual and statistical perspective, to be pretty frustrating for the simple reason that the science of prostate cancer treatment does not have a clear "winner". It all seems to come back to personal preference based on what you think is best in your unique circumstance. The trouble with that is that I don't really think my situation is particularly unique. I've read lots of accounts of guys with very similar stories to mine and their choices of treatment range all over the place. I am leaning toward surgery despite some concerns of the typical side effects. While I am at the top end of age when surgery is even an option, I am in good shape physically and emotionally and feel that I am up to the challenge. While it may be irrational, I am confident of beating the cancer, regaining continence, and regaining my sexual function (all three are quite important to me). I wish you the best in your search for the best answer. Should you happen upon information that you consider "game-changing", please email me and enlighten me. My email address is in my profile and I am in north Florida. Good luck.