Ed (66 years old)

Ed is a 66-year-old volunteer at a yearly local music festival. The organisation considers him essential for setting up and checking the sound system. He is referred to a urologist for haematospermia.

Assessment summary:

• Medical history: well controlled epilepsy
• Routine work up: new diagnosis of prostate adenocarcinoma
  • T3aN0M0
  • Prostate biopsy: ISUP grade 3 (Gleason score 3+4)
  • PSA: 25 ng/ml
• Strong preference for EBRT as his definitive modality of treatment
• Quality of life is important to him, although he does not want to compromise his PCa treatment

Treatment plan: EBRT to prostate plus seminal vesicles ± ADT.