hello and welcome to hw, retire
your stats are interesting. your young age is the most alarming part of the equation in my opinion. we have several other men in their early to mid 40s.
your free psa is definitely at the cancer suspect level and your biopsy found a single core, pretty low grade and low %. Because it was only a 12 core, and i assume it was your first and only biopsy so far, it is possible that there is more cancer than a 12 core is finding. it took 3 biopsies to find the heart of my cancer this time around. 2 diff 12 core ones missed it.
based on your numbers, it would still seem safe to extend a period of AS, and unless you have other health maladies to factor, you would be wide
open for a primary treatment, including, but not limited to radiation, radiation by seeding,
open or robotic surgery, etc.
at your young age, and not sure if you are married/kids, etc, the quality of life issues that come with surgery need to be strongly considered. obviously, once your prostate is removed in surgery, you will indeed be sterile, and your sex life, thought it can come back for most men over time - or with the aids of drugs/or/inkectibles - will never ever be the same after surgery. and of course, you have to consider the risk of long term incontinence, though most men here have gone dry after a reasonable period of time.
we are here for you, regardless of what you choose to do. good luck, and keep reporting back in with us.
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, 4/8 .04, next one: Aug 3
Latest: 7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped 9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 ,Cath #11 - 21 days, Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19