Sorry to hear that you have joined the group. Please take Tudpock's advice. I think you are making an important decision much too quickly based on not a lot of information.
With a gleason 6 and at your age any treatment including none will produce about
the same results. It is very unlikely you will die from PC no matter what you do. Make sure you understand the permanent side affects all treatment options as in some cases the treatment is worse than the cure.
The best advise for a favorable outcome is fairly simple:
1. Understand the biology of your individual cancer.
2. Choose the treatment option that best fits the biology of the cancer.
3. Choose the best specialist to do the treatment.
Other people's experiences may not be useful because each cancer and situation is individual and only you can determine what you are willing to accept in terms of risk and living with the side affects of treatment.
You can only do this by getting 2nd opinions from doctors in all fields, IE prostate oncology, surgery and radiation. Reading "Prostate Cancer for Dummies" is not what I would consider good research.
64 years old.
I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.
In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.
I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.
A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.
Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,
I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.
The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.