What Is the Optimal Management of Gleason Score 7 Prostate Cancer at Biopsy? A Comparison of Disease Control for Prostatectomy Versus Radiotherapy

For GS7 prostate cancer patients, RT is associated with superior disease-free survival at 5 years compared to RP alone, without difference in disease-specific survival. Whether this difference remains in the setting of appropriately used adjuvant RT after RP, and the effect of possible delay in testosterone recovery for older RT patients remain to be determined.