Welcome to the site, What is your husband's age? His PSA doubling time way under one year would be a major concern. Any good doctor would look at this as just as important as his staging. I would recommend a good prostate oncologist, mainly because of the rapid doubling time.
Radiation is effective, and for a Gleason 7 seeds + IMRT would be the better choice. There a few side affects, about
5% have bowel problems. Incontinence is rarely an issue with radiation. ED shows up about
3 years out at about
the same rate as surgery and medications like Viagra are effective. I had no problems with radiation.
A psa doubling time of over three years has a very favorable prognosis with any treatment. Fast Doubling times, especially those that double in months rather than years deserve special attention, that's why you should get an oncologist immediately and have him do a through evalustion and staging.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.
2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.
Scheduled for 5 weeks IMRT in July