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Message: <blockquote data-quote="tcmi" data-source="post: 204917" data-attributes="member: 31798"><p>It’s puzzling why your urologist would insist on ADT for Gleason 6 cancer.  I’m Gleason 7 and having surgery in two weeks at MSKCC and my urologist is fine with my TRT (assuming no surprises during surgery).  One of the primary reasons I chose surgery is it’s compatibility with TRT.  Meaning that if your prostate is removed, the PSA becomes an excellent monitoring tool while on  TRT.  In any case, you need to find a urologist that has a large prostate cancer practice and is familiar / comfortable with TRT.  Nonetheless, my gut tells me that many docs will be a little more uncomfortable having had radiation as opposed to surgery.  Good luck!</p></blockquote><p></p>