How do you think through the various treatment options for patients with unfavorable intermediate risk prostate cancer?

The first thing I do is make sure that I have plenty of time blocked off for this consultation, because these tend to be long encounters, and may require follow-up visits and/or phone calls to address all of the patient's questions. I think these are the most complex of all GU consults.

The next thing I will do is look for anything in the patient's medical record that might lead me to rule out an option. For example, is the patient a poor anesthesia risk? That would lead me to rule out brachythe...