I think Alf said it quite succintly.
All of us have the initial reaction, I 've got cancer, get it out of me now! In fact, your husband probably had cancer for several years. It takes a lot of cancer cells to produce enough PSA to register. Many men will die of old age with PC never knowing they had it.
If you have another PSA test in a couple of months, you can judge for yourselves how fast it is growing, but most Gleason 6's are not aggressive and according to studies, have a low probability of causing death.
That said, we are not suggesting you ignore it and check it again next year. Active survelliance means just that. Getting a doctor to work with you, regular PSA tests, and perhaps DRE's, as well as getting second opinions, and researching the best options for you.
Surgery is a very final step. Once it's gone, it's gone, and then the side effects that many have to deal with. Radiation is no walk in the park. Brachytherapy is promising for low Gleason scores, as well as cryo, HIFU, and proton.
Good luck, and while thereis urgency, walk, don't run to the best treatment option for you.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01