High-Risk prostatE Cancer radiatiOn Versus surgERy (RECOVER)
Prospective cohort study comparing robot-assisted radical prostatectomy and external beam radiotherapy combined with androgen deprivation therapy for high-risk non-metastatic prostate cancer in terms of health-related quality of life, functional outcomes, cost-effectiveness, progression-free survival and distant metastasis-free survival.
• Histologically confirmed de novo non-metastatic high-risk prostate cancer.
• cT3a-bN0M0, according to the 8th edition of the Tumour, Node, Metastasis (TNM) classification, with the exception that clinical T-stage will be based on digital rectal examination and magnetic resonance imaging (the highest stage will be used) and/or
• International Society of Urological Pathology (ISUP) grade ≥4 and/or
• Prostate-Specific Antigen (PSA) value at diagnosis greater than 20 ng/mL
• Fit for treatment with either RARP or EBRT and ADT (WHO performance status 0-1)
• Living in the Netherlands
• Able to read and understand the Dutch language