According to your post, your husband was suppose to have had his first PSA reading post surgery. Did that test happen yet, and what were the results. Based on my conversations with several radiation oncologists, even they didn't reccomend radiation until there was proof of recurrance taking place. In the normal manner, it means 3 consecutive rises above a PSA of .10. There is some variation there among doctors on the subejct. It strikes me a bit odd that the surgeon doesn't want the oncologist to talk you out of radiation, most surgeons would discourage radiation this soon after surgery unless there was some hard evidence to support it.
While his current pathology has some negative implications, its does not mean that recurrance is guarranteed, or even how far out it may occur, if it occurs.
He is pretty close to having just had surgery, another reason not to rush to radiation is dealing with incontinence, the better he is there before starting radiation, the better the chances he will have after radiation with incontinence issues.
There's a lot at stake here, don't be bullied into anything. Find out what the attitude is like with the medical oncologist. He should be seeing a radiation oncologist as well, in my opinion.
Good luck, and keep posting.
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, 1/19 - Corr Surgery #4, Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days