With your husbands medical hisitory that you have share, there are a lot of risk factors for any PC treatment option. The stress of surgery could be a problem with his heart and previous stroke, radiation could be a problem in general with some of his other maladies.
You two are definitely going to need to get some very good opinions, since you must be close to Atlanta, there are some outstanding doctors and facilities there.
If he didn't have all the other medical issues, which he does of course, based on his psa and biopsy results with such high cancer cort % (similar to mine), I would reccomend, and many others, that he should have surgery, and sooner rather than later.
But you definitely needs some good sound experienced medical advice here. Feel bad for the both of you, but there will be an answer and a suitable and safe approach for treatment out there.
David in SC
57, 56 at DX, PSA
7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 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 capsule, one post. margin, clear lymph nodes
First PSA Post Surgery 2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, they want to start radiation, 70 gray, I am still considering all options and opinions