Guys, Tim already said the biopsy was positive, that is a given.
Until you get all the numbers from the biopsy from your dr, anything else would just be a guess. Regardless of the results, you will have plenty of time to learn and think through any decision(s) you will or want make. Based on your numbers, a good doctor will walk you through the basics of all the normal treatment choices. These including Active Suvielance (AS) - where your numbers are low, your cancer is minimal, if your uro is also a surgeon, and many are - he/she may push for surgery right away - either
open surgery or robotic, you can have radiation, i.e. IMRT, you can have Radioactive Seeding - with or without additional radiation added to it. These are some of the typical choices.
What is right for you depends on so many factors. Your gleason score and staging, which should be known from the biopsy you had, any family history of PC you might have, and your PSA - not so much the actual number, but how fast did it get there - known as PSA veolocity - a helpful too to determine how agressive your cancer may or may not be.
In any event, you will have time to go through all of this, to research on your own, to get second or even third opinions. If your uro does surgery, don't be surprised if he/she pushes for a quick decision to do surgery. Of course they would have a vested interest in treating you, before someone else does.
Please post again with any quetions. Please post when you have the full results of your biopsy, it will help us understand your particular situation.
We are here for you, no such thing as a dumb question, so ask away.
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: 1/10 .12
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 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time