He isn't scheduled as yet, but we've met with a urologist here who does the
open, and have met with a Rad. Onc. that I've worked with for 10 years who does Brachy, and are travelling to Edmonton on Monday to meet with a Uro who does the DaVinci.
He's actually been seriously considering AS, but the Rad. Onc. called me this morning (I'm a radiation therapist) and asked me to come up to his office (I worked this morning) to discuss the result. He was a HUGE proponent of AS in my husband's case, but after getting this PSA reading, he said he wouldn't be comfortable doing AS..... He is quite certain this was an abberant reading, and wants us to repeat it on the 28th, but he indicated that quite often, people's PSA readings can be too erratic to be used safely for AS....especially given his young age. Hi still stressed the fact that things are not urgent and that there's no need for my husband to proceed immediately. He advised me to book in a couple of brachy dates, several months apart, and to do the same with whichever surgical modality my husband might be comfortable with. As he said, the PSA may still stabilize, and O.R. dates are easily cancelled/changed.
-Husband's 1st PSA done (age 45) at routine physical PSA 3.8
-DRE at physical indicated no abnormality other than slightly enlarged
-Consult with urologist Jan. 2010---DRE negative, PSA 3.89
-Biopsy Feb. 10, 2010: T1c, Gleason 3 + 3, 2/10 cores pos. (5% in one core, <5% on other core) 1% of core volume positive, gland size 38.84