Bass Guy, welcome to our corner of the world.
You are in the fortunate position, both because of your age/general health, and based on what you wrote, and extremely minimal dx of PC at this point. That means you have both the luxury of time an choices of what to do and not do.
AS ( the former watchful waiting) could easily be an option at this point, and thus delaying for a good while, or even longer, any of the side effects of a primary treatment
Seeding - sounds like you could be a model candidate for that, I wanted that originally for myself, but my stats made me not legible.
Then of course, surgery or straight IMRT.
With what I have been through, combined with what I have learned in past 15 months or so, I would be inclined to at least go through a sensible period of AS. We have one brother here, don't remember his name, that had surgery based on a very minimal case of PC, only to find out that his one positive core wasn't even positive, thus he didn't have PC after all. But he has to live with all his recovery and some side effect issues.
Hopefully, you don't even feel remotely rushed to make a decision.
Please keep us well posted, and ask as many questions as you want, no such thing as a dumb question.
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, no problem post SRT
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 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days