Hello again, thanks for supplying the extra data.
The bad news: prostate cancer, no doubt
The good news: Gleason 6, and 4 of 10 cores cancerous, normal DRE, and PSA that is well within age factored range
With your husband's age of 71, and based on all the data, I would say he would have a good shot at Watchful Waiting or Active Survelience.
Most Gleason 6's aren't real agressive. Even though I was a surgery guy, I would almost think that radiation in the form of Seeds might be a viable option for him too.
How is your husbands overall medical health? I am not sure I would go for the stress and aftermath of surgery with his numbers.
A second opinion with a radiation oncologist is definitely in order in my opinion, and talking to another urologist wouldn't hurt. Don't feel rushed, should have plenty of time to think all the options through.
Thanks for the update, and we will remember you both.
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