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I hope they don't find it has spread, but, all I can tell you is that when they found PCa in my brother-in-law, they found it had spread outside the prostate and told him that surgery would not make much sense as it would be difficult if not impossible to cut out all the tumour. So he had radiation therapy and he is doing fine about 7 years on from that.

Alfred

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Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc.
Nov 17th 2009 PSA = 0.1
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist

Great question and what are the facts about PCa, not the wishful thinking. Even with using nomograms, Partin Tables, Bluestein and other assessment tools (which many uro-docs/surgeons don't even bother with using those basics, let alone the other blood markers and urine tests)..there is no guarantee even for low stats or maybe indolent PCa cases, nobody can know or properly assess with absolute certainty where the heck is the PCa. Soooooooo, everybodies treatment herein is based upon the so called good hunch, best guess, s.w.a.g. (scientific wild a__ guess) and such considerations or even worse. This is the wonderful world of PCa only a few docs will mention this is how it is, but some do. This is one reason why Dr. Leibowitz and some other oncologists may appear to more sane than you first thought about using their protocols even as primary treatment.

So based upon knowing such, how motivated are you (anyone) as a patient to know what is what, am I being treated the way I wish to be treated, are my factors like quality of life placed into the "real" perspective and I am or was I informed of every possible choice or future prognosis's based upon my findings, (rarely are you informed like this..plenty is hidden). Question everything is not exactly being dumb.

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Youth is wasted on the Young-(W.C. Fields)