You got a lot of news all at one time.
Glad his cath and his drain are history, thats a good start.
Please remember, that when you get a PC dx from a biopsy, at best, it is an estimate based on a small sampling of tissue. It is not uncommon to have the Gleason and/or staging upgraded after surgery. Why? Because they now have the whole gland to look at, as well as the other bits and pieces they took out of your husband.
There is a lot of good news in that pathology report. Yes, its a shame that it is now a Gleason 7 (3+4). But its not a Gleason 7(4+3), which I go with the school that says your husbands version is the lesser of evils. Also, look how small a percentage of Type 4 Cancer cells made up that Gleason 7, under 10%, that is good news.
High Grade PIN, are cells that are prone to turn cancerous, doesnt mean they will, but lots of time they will. The fact that they found that as well tells me that it was high time to get the cancerous prostate out of him, and good riddence.
Others will weigh in on some of the other highpoints of this pathology report, but all in all, I think its pretty decent.
I hope he continues to recover well, and that you start getting some peace of mind.
David in SC
57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.33rd Biopsy
: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3Open RP:
11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09Path Rpt
: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place