We deal with new friends here all the time, even men that don't have a full blown PC dx, men that are undergoing DRE's and biopsies.
On the AS/Watchful Waiting front, if one chooses not to have tests, biopsies, or any more DRE's, then, that isn't what AS is all about. A person certainly would have the right to do that, but for all practical purposes, it would be equivilent to burying one's head in the sand and saying, " I don't want to know, I don't want to know"
AS is a serious option to those that meet the criterea safely, but it also invokes responsibility on the part of the patient, and having a good relationship with one's urologist and keeping good communications going at all times, in the event of a negative change of events.
Without a biopsy, bleeding or not, painful or not (mostly not severely painful), there would be no positive way of dx PC in your body.
And then one really gambles, do I have cancer or not? Is it indolent or aggressive? Am I treatable at this point or not?
Cancer sucks, and dealing with it sucks too, but if you have to have it and deal with it, then one needs to be armed with all the knowledge and advice they can stand, so that if they have to make a primary or even secondary treatment choice, they will do so informed.
That kind of knowledge also helps takes some of the raw fear out of the equation, and being at a place like HW, helps too, lets one know they are not alone, and that others have walked on this path before.
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path 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