I'm 18 years older than Robyn's husband, and my situation is quite a bit different, but I really should have had my biopsy and surgery at least a year before I did. My family internist had recommended I see a urologist a year prior. I wish I had. Sure, the post-surgery pathology report indicates it was organ contained, but by the time I did anything about it, the doc could feel the tumor on the left lobe. If I never have a recurrence, I'll be a very lucky guy.
My family history has most folks living into their 80's, and I'd like to get there, too.
The biopsy showed all six cores of the left lobe containing cancer, and none of the cores on the right containing cancer. The pathology AFTER surgery, however, found cancer in the right side as well. My understanding of PCa is that it usually doesn't present itself as a well defined tumor, as certain other cancers are, but that threads of it can often extend throughout the organ, and that it's a lucky shot if the biopsy needle hits those threads.
So, while I can say my cancer was contained within the capsule, the final path report also mentioned extensive PIN.
I visualized the cancer as a time bomb in my body, and I didn't know when the fuse was set for it to really explode. Finding cancer while it's potentially most curable was a blessing which I was never in the least tempted to pass up.
Every situation is different, but I'll deal with my ED after-effects and hope for zeroes on future PSA's. My beautiful R.N. wife absolutely agrees.
Good luck, Robyn. I hope this works out well for you and your husband. I hope you'll continue to share your experiences here on the forum.
Dx in June 2010.
PSA gradually rising for 3 years to 6.2
Biopsy confirmed cancer in 6 of 12 cores, all on left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays all negative.
DaVinci surgery late August at Advocate Condell, Libertyville IL
Negative margins; negative seminal vesicles
Smooth recovery; 18 holes of golf at 4 weeks.
Continence OK after 7 weeks. ED continues