we all understand the fear part, and the not wanting to make the wrong decision part, each of us ahead of you have had those very same fights in our head and hearts.
when its all said and done, you just have to go with what you feel right for you. you don't do what your dr. is telling you to do if you know its not right for you or in your best interest.
you do what you have been doing, asking questions, researching, getting medical opinions. then at the appropriate time, you make your decision, and you just go for it. for many, you can actually feel a sense of relief and a wave of calm when that is done. many have reported that here.
i am not telling you to rush any decision, but reality says, you are 46 years old, you have confirmed PCa with a Gleason 8, something needs to be done, as you can't afford to let it grow and spread more. It is your body, your cancer, and your life we are talking about
here. While thinking through possible side effect issues and so forth, you have an agressive cancer at work inside you, please don't loose track of that thought.
In the end, you just have to decide what is right for you. Everyone else will rally around you. There is no magic answer, and in the end, each and every man here had to make his own choice for his own reason.
Good luck, and still the best way to shake some of that fear out of you, is to continue to educate your self. The prime goal with your numbers, is to eradicate the cancer you do have, and hopefully contain the beast before he decides to spread elsewhere. Incontinence and ED possibilities should be playing a distant second and third on your list of priorities. Get the cancer, my friend, get the cancer.
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, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29