For what it is worth, get the second and third opinions, but do it quickly.
In my case, the post op pathology report stated the cancer "extends out to but not through the prostatic capsule". I believe if I would have waited very long, it may have penetrated the capsule.
I had only one of twleve biopsy cores show cancer and that one was only 10%. My PSA was only 3.4.
Good luck and best wishes.
Age: 50 (March 2008)
DX 1/08 @ 49 yo
7/05: PSA 2.6 DRE Normal
9/07: PSA 3.4 DRE Normal
1/08: Biopsy 1 of 12 cores with 10% involvement, T1c, Gleason 3+3=6
4/08/08: Da Vinci Rad. prostectomy @ Banner Thunderbird, 5 hrs.
Advised both nerve bundles spared
Post Op Pathology Report: Tumor confined w/in prostate, pT2c, NX, DX
Gleason is 3+3=6, bilateral with 15% total involvement near apex
Margins and Seminal Vesicles negative!!!
4/18/08: Staples and Catheter removed. Drip, drip, drip, drip...