Christopher (66 years old)

Christopher is a 66-year-old plumber who likes to go swimming in his free time. Even the winter cold doesn’t stop him from doing a weekly dip in the pond. Unfortunately, he is newly diagnosed with PCa.

Assessment summary:

• No relevant medical history
• T2bN0M0 based on DRE, MRI and bone scan
• Prostate biopsy: ISUP grade 4 (Gleason score 4+4)
• PSA: 19 ng/ml
• No comorbidities, asymptomatic
• Sexually active and extremely concerned about erectile function

He opts to undergo EBRT ± ADT.