Nathaniel (69 years old)

Nathaniel, 69 years old, used to be a GP before his retirement. Due to increasing lower urinary tract symptoms (LUTS) despite an alpha-blocker, he visits his own GP. After workup, he is now diagnosed with unfavourable intermediate-risk PCa.

• Pathology findings:
  • T2cN0M0
  • Prostate biopsy: ISUP grade 3 (Gleason score 4+3)
• PSA: 15 ng/ml
• Medical history: diet-controlled diabetes, moderate LUTS
• Currently not sexually active

Having discussed all treatment options, he decided to have a short course of ADT (6 months) with EBRT 60 Gy in 20 fractions.