Cryotherapy or hormone treatment for prostate cancer?

I have now had prostate cancer for 14 years. The first 12 years were watchful waiting and then my PSA count, which had been rising slowly, reached 24. I went through radiotherapy 2 years ago with 2 hormone
Injections prior to treatment and my PSA count dropped to 0.01. It has now increased again. 6 months after the treatment it rose to 0.9 and then at my last check it was 11.4. I had another test a fortnight later and it is now 16. My consultant urologist has advised that I start a 4 month course of hormone treatment before seeing what further treatment is required; he suggested that cryotherapy would probably be the most suitable course of action. I am concerned as I feel that an MRI scan, which was suggested as unnecessary, should be taken to ascertain whether the cancer is contained within the gland or whether it has metastased. This may indicate that we should be looking at cryotherapy straight away rather than delaying for 4 months. What should I do?

It would be wrong to contradict or give advice other than your consultant urologist. He would need to perform an MRI scan to ascertain that there was no disease outside the prostate before contemplating local therapy to the prostate. If there is no evidence of disease outside the prostate, then it is possible that some form of local treatment might be offered. However, the majority of your treatment will likely be based on systemic hormonal (anti-hormonal) therapy.