Hello and welcome smc64. Sorry you had the need to find us here, but it is the best place on the net for dealing with PC. It takes a while just to properly digest the ds, yours is barely a month old. Here, you can get any number opinions all the treatment methods. There are more than several younger men like yourself in their 40's, so you should find good company. With your PSA, just one core and a gleason 6, you definitely have plenty of time to find the best treatment for yourself. Not a doctor, but your preliminary stats would make it pretty likely that it is contained at this point. Now you need to research here, with other urologist from a surgical perspective and a good oncologist from a radiation point of view, and to be fair, some would advocate a period of "watchful waiting". Hope you can find the answers you are looking for, plenty of people here more than happy to help you where they can.
David in SC
What part of the country are you in?
Age 56, 56 at DX
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
Open RP surgery November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32. Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes.
First PSA Post Surgery Scheduled now for 2/9/9