At only 47, he would probably still like all things to function & that removes most options. Sometimes the nerve sparing robotic surgery will achieve that, mostly. If it is confined & not too far advanced, he should "choose any method he wants as long as it is proton radiation therapy". Least invasive by far, far less peripherial damage than IMRT, conventional radiation, seeds, certainly surgery, or any others. At 70, done a year ago and ALL systems functional and I'm not alone, know others. I could never recommend anything else in the way of prostate cancer treatment. Many doctors will recommend whatever method they practice or their group of associates practice, so you have to keep your eyes open, ask questions, do your research, since the doctors often are not your best help in selecting method of treatment. Google Proton radiation therapy and find much info, maybe start with Loma Linda University Medical Center. There are more & more facilities doing proton therapy everyday, but they are no where as common as old conventional X-ray radiation. Besides the lesser damage overall, it is so much more focused as to do very minimal damage to nearby parts of the body, including tissue that radiation must pass through to get to the target.
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Today's Featured Article - Massey Ferguson 35 (and up) Tractor Assembly Notes - by Jack Wetmore. These assembly notes are for Massey Ferguson tractors with a two stage clutch and 6 speed, 8 speed and mutli-power transmissions. I see a lot of discussion forum messages regarding damaged clutches from improper assembly. The objective is to have the engine and transmission slide together safely and easily until the gap between the two halves is less than 1/4", BEFORE tightening any of the bolts holding the two together. Using bolts to draw the two halves together will damage the PTO
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