I agree with John. This would be a good place for a color doppler.
These aren't available everywhere, so you may have to travel a little to get one.
Second opinions are a good idea for cases like this that show a high core percentage, and particulary from a radiation oncologist or a prostate cancer oncologist. You will find many men on here who say the surgeon recommends surgey and the radiation guy recommends radiation. Hopefully a prostate oncologist is a more neutral person.
Just be sure you take the time to understand your cancer, your treatment options, potential side effects, and 5 and 10 year prognosis rates.
Good luck. Oh, and take a deep breath. This is not a death sentence. Statistically you have a high percentage chance of a long life.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injections