Greetings from sunny Texas!
I just (10 minutes ago) arrived home from your beautiful, but snowy state...a day later than planned due to that snow yesterday.
Second opinions are never a bad thing. Most doctors will not offer one, however, without seeing the medical records....biopsy results in this case.
As for treatment, my personal bias would be to at least check out someone in one of those larger areas, as you stated. Not that a urologist/surgeon (if surgery ends up being part of this) in a small town might not be great, but typically specialists in larger areas have more experience....more patients with similar situations.
Regarding the bone scan itself, it is done to determine if cancer has metastasized in the bones. If the results are positive, the suggested course of treatment might be different than if the results are negative, etc. The bone scan itself takes just a few minutes and does not involve any pain or discomfort....just some mental anguish as one waits to learn the results a day or two later.
Even if the bone scan results are negative, it is still possible that spreading may have taken place to the lymph nodes or to the tissues just outside the prostate (the margins as they are called when surgery is done). If the bone scan is positive, then spreading has definitely taken place.
My urologist/surgeon got his medical degree from UW Madison and I like him a lot, but I know nothing about the school/hospital.
Best of luck to you and your husband.
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)
Began using Viagra 3 times a week December 2007 to stimulate blood flow
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Will probably begin using bimix injections in addition to Viagra and pump in May 2008
Post Edited (DanmanBob) : 3/22/2008 10:04:36 AM (GMT-6)