My thought for my own case was to have treatment sooner than later. My wife's preference was for me too have treatment even sooner than that. After seeing the pathology results of the post-surgery biopsy I'm happy with the decision to have had the surgery even sooner. The tumor was right up to the edge of the prostate capsule wall but not into it or through it. My wife works in the cancer screening field and we are aware of the importance of having negative margins. You can see from my signature that I had fairly low psa with some velocity. Original biopsy gleason was 3+3, changed to 3+4 final.
Take the time to make the best decision for your treatment. Please don't panic, I don't mean to add any more stress to your situation either. There are no easy answers.
Best wishes for successful treatment whenever it is,
PSA Jan'07:1.2, Jan'08:1.9, Jan'09:2.5
BIOPSY Feb'09 PCa DX, age 52
Right: 3+3=6, 3/6 cores 10% involved,PNI-Y
Left: 3+3=6, 1/7 cores <5% involved,PNI-N
LARP April 9,2009 nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter 8 days, Last pad May 2,2009
latest PSA: April 8,2010 <0.1