Have to agree with this and just to add, my PSA was 24 and Gleeson 9 when diagnosed. I am being treated by both the Urologist and the Radiotherapist specialists at Siriraj and the latter would not suggest the brachytherapy thus it was 28 shots on the Linac (1.5T 7MV) , which is the only one of its kind in South East Asia. I will never know whether the other options would have been more successful or create less after effects. My experience led to complications with my bowel and bladder that have since ( 2 months after completing treatment) have resolved to nearly 'normal' although the 3-4 bathroom visits a night are still required. Cost wise , all in was £10k and the level of care, equipment and surroundings although a public hospital felt like a private hospital. More importantly my PSA last measured at 0.6 although I haven't had any further scans to advise on the cancer cells, however the radiologist advised the 'shots' were accurate and were having the correct impact. I'm as strong now as I was before treatment, eating well and have put on 3 kilos, possibly due to the hormone treatments; which are fun with hot flashes in this heat. There's more if you want, but that's it in a nut shell, good luck with whatever course you choose.