I was diagnosed at 54 years in January and had my surgery in March. I had 10 cores with 1% in one core. Gleason 6. T1C. After surgery they found that my tumor was 10 % of both lobes and that my gleason was actually 7 ( 3+4). Not much different but different just the same.
You have plenty of time to determine your course of action for sure. It seems to me in my brief 9 month experience that clinical diagnosis more often have a lesser Gleason score and smaller tumor than is found if you choose surgery and subsequent pathology.
This site is a great forum to ask questions and learn from others. You will realize very soon that this journey you are about to embark on is so very linked to the skill, experience and knowledge of those you choose to hire. Seek and obtain the very best you can.
As you meet with Doctors and consider treatment options go ahead and schedule the procedures even if you have not decided. This way when you do decide you can quickly cancel the other procedures. I was explained that smart patients do this all the time. This way you wont have to wait 6 months to get it done.
All the best,
DRE normal , 2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
PSA @ surgery 6
Bone and Ct scans negative
clinicaly Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008, University of Chicago.
Catheter out in 7 days normaly expected leakage
Post Pathology T2C, Gleason 7, (3+4) 10 % of both portions of prostate
Seminal vessels clear, fat tissue clear, single positve margin at apex measuring less than 1/2mm.
PSA Six week < 0.1 4 month PSA <.05 6 month PSA<0.01,9 month<0.01
Watching PSA @ 3 months for 2 years, will do salvage radiation if necessary.
Fair to Good results with Viagra, side effects are bothersome at times.