Thankyou for your responses. As further insights to the torturous deliberative process regarding "what does all this mean and the who, what where and why decisions that must be made" following initial shock of diagnosis, I live in Lexington, KY, home to the University of Ky Medical Center, College of Medicine which is also home of the Markey Cancer Center. Of course one of the initial issues is "where to get treatment? My wife and I researched major centers in the east and midwest and I kept coming to the conclusion that I would like to get comfortable with my home town team. Experience level kept rising to the top of the criteria, followed by "major academic intsitution" according to Dr. Patrick Walsh's book. Of course, type of treatment (in my cases surgery based on all technical criteria) was a factor. In discussions with Dr. Steven Strup at the University of KY College of Medicine, he had done over 1400 laproscopic and/or daVinci procedures and answered my questions including emails very promptly as I worked through the decision making process. Some centers appeared to "advertise" their success rates dealing with various post-op factors (e.g., incontinence, ED) which for a while clouded the decision process. (It also struck me more of a marketing tool by various centers as there are so many individual patient variables that relying on a center's putative sucess rates for, say ED was not really a valid criterion. (For example if you were one who would not be a candidate for nerve sparing technique, the success rate for ED was irrelevant.) I decided that, most things being equal regarding various centers and doctors around the country, that being close to the center, home and family would be the best alternative, both for pre-op and post-op issues.
I did send inititial biopsy report for second opinion at another center (Johns Hopkins) which down graded me from 3-4 to 3-3, but in reality it may be a distinction without a difference.
Nevertheless, as noted in my initial post, the first stage in the process was very difficult mentally but we did work through it and am very glad to have it behind me. Now to look forward, get detached from plumbing system this week, get pathology report and take from there, one step at a time.