Patients with severe Lower Urinary Tract Symptoms (LUTS) meeting the following parameters:
1. IPSS score \> 20
2. Uroflowmetry flow rate \< 10 ml/sec
3. Post-void residual \> 150 cc
Patients most probably having low to favorable intermediate-risk prostate cancer, defined as:
1. PSA level between 4 and 20 ng/ml
2. MP-MRI showing 3 or fewer focal lesions
3. MP-MRI focal lesions measuring \< 1.5 cm
International or visiting patients requiring early return to their home country due to professional or personal commitments, provided they can undergo short-term management and follow-up coordination
You may not be if
Patient PSA level \> 20 ng/ml
More than 3 focal lesions on MP-MRI
Metastatic prostate cancer
History of lower urinary tract surgery (e.g., TURP, Laser, urinary diversions, artificial urinary sphincter)
History of pelvic radiation therapy or radical pelvic surgery