Welcome here, and sorry you needed to be here, but glad you are among us.
My take is different. Your stats are closer to what I started out with. Keep in mind, your gleason 6 from biopsy could be easily a grade higher once they are inside you if you go that route. Your high PSA number and its velocity was much like mine. They ruled that I would not be a candidate for seeds, because if it failed, salvage surgery would be hell, if anyone could be found that would do it. You are doing the right thing by checking out all your options. I would reccomend surgery with your stats, and hope that it is still all localized at the time of surgery.
open or robotics, your choice there. In my case, due to unseen complications,
open surgery was the best choice for me. If my cancer were to ever come back, I can still have the option of radiation to finish it off.
My very experienced urologist/surgeon, said that the risk with my fast rising and tripling PSA, was that the cancer was on the move, and he reccomended surgery no more thant 8 weeks after the last biopsy. I had 3 of them. He said that once it was outside of the prostate capsule, it would be a whle different case, with a whole different option list and outcome.
Some here might reccomend that you wait and watch with your gleason 6. The biopsy, at best, according to my dr, is just an estimate of what is going on inside. If it really is a 6, that would be one thing, but if it really is a 7/8, its a horse of a different color.
Not telling you what to do, not trying to scare you, just trying to help you think through, its hard to do when you are in shock about
having cancer and overwhelmed with what to do. Ultimately, its your body, your cancer, and your life we are talking about
I hope we can help you here, or at least give you some comfort along the way.
David in SC
56, 56 at DX, PSA
7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9/9