My wife wanted me to get a prostate exam at my annual physical, as she had noticed my erections were not quite as hard lately, and she had read that there might be a connection to prostate cancer on the Internet. The doc said the erection issue was more likely related to low testorone levels, and that they normally don't do a prostate exam in someone as young as me (42), especially given the lack of risk factors (e.g. no family history) and indicators. However, since my insurance is so good, there would be no fiscal impact for me, so they did it.
Quite the instincts on my wife.
Tomorrow I go for CAT scan and bone scan to determine if the cancer has spread elsewhere. We should find out on Thursday.
My urologist has done something like 200 prostatectomies. He said that if the cancer is contained in the prostate, I'm high risk for anything but prostatectomy. And maybe that's the best thing. Dunno. But in my head, I keep hearing "To a man with a hammer, every problem looks like a nail."
He also said that 7 of 12 cores showing cancer seems to indicate the cancer has been there a while (though I don't know what "a while" means), and that the high Gleason score is of particular concern.
So, does high Gleason score usually equate to PCa that has spread, is it common/uncommon for it to be contained within the prostate? Any guidance out there?
Just a bit nervous...