I read your post and the single one below. I am always surprised when a doctor starts pushing for immediate treatment. Your gleason score is high but not extreme. The biopsy showing a high percentage is of some concern. Most doctors do not predict pereneal invasion until they have a post surgery biopsy to guide them, so I am a bit surprised at that.
I would guess that he (and you) are responding to your prior cancer experience. I have no idea what it might mean. You should have as good a result with open surgery as you would with the DaVinci procedure.
I would consider at least a consult with another urologist or a radiation specialist. That will give you better looka at your situation.
I assume that the 10/14/08 surgery date is a keystroke error, since that was last week.
Let us know how everything goes.
PSA up to 4.7 July 2006 , bump noted during DRE
T2A, Psa 4.7
Gleason 4+4=8 right side
DaVinci Surgery January 2007
Post op confirms gleason 4+4=8
No extension or invasion found
No continence problems
PSA 90 day (-.01) , (6 month -.01) , (9 month +.02) , (1 year +.02) ( 18 months .02)
ED still a problem, minor succces with bi-mix
urinary problems at 21 months