Rick, welcome here, glad you found us.
You realize its only been 9 days since you were diagnosis. With a single low volume core of PC detected along with your PSA and estimated staging, you have plenty of time to make a safe, educated decision about
what to do. Assuming your personal medical history is pretty decent, and assuming you dont come from a family known for PC, you are in the fortunate posiition of having most every available option for treatment or non-treatment at this time.
For starters, you may well be a good candidate for WW or AS, the watchful waiting method, as your cancer may well be very minute and indolent at this point.
Assuming your biopsy was seeing the bulk of your cancer correctly, you could well be served by Seeding with/without added radiation.
Of course, surgery is there. I am biased toward
open surgery in the great
open/robotic debate, but aside from that, you would need to find a very skilled and experienced surgeon, regardless of what type of surgery you chose. There will, however, be possible life-style changing side effects with surgery including short or long term incontinence, short or long term or possibly possible perm ED.
At your age and current health, that is something to think about
and factor into your decision process.
Please keep us posted, and ask a million questions if needed. We have men experienced with all the treatment choices you have before you.
You definitely don't want to rush or feel rushed mentally or by a doctor into making this critical decision in your life.
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
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place